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PATHWAYS RECOVERY NPI 1922512508


NPI Information

NPI: 1922512508
Provider Name: PATHWAYS RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2239169

Address:
1101 KENSINGTON DR
ROSEVILLE, CA
ZIP 95661
Phone: (916) 622-0874
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PATHWAYS RECOVERY is a substance abuse rehabilitation facility in Roseville, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PATHWAYS RECOVERY NPI is 1922512508. The provider is registered as an organization entity type.

The provider's business location address is:

1101 KENSINGTON DR
ROSEVILLE, CA
ZIP 95661-312
Phone: (916) 622-0874

The provider's authorized official is Danita Sands .
The authorized official title is Executive Director/ceo and has the following contact phone number (916) 532-4044.

The CLIA number assigned to this NPI record is 05D2239169 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2017 and was last updated on 11/19/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility310023APCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1310023APOTHERCALIFORNIACA DEPARTMENT OF HEALTH CARE SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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