| Organization Name: | PATHWAYS COMMUNITY BEHAVIORAL HEALTHCARE, INC. |
| NPI Number: | 1033530498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERESA PORTER (CREDENTIALING/CONTRACTING MANAGER) |
| Mailing Address: | 530 Arduser Dr Osceola |
| State: | MO US |
| Postal Code: | 647766284 |
| Phone Number: | 6608908186 |
| Fax Number: | 6608908186 |
| NPI Enumeration Date: | 01/02/2014 |
| NPI Last Update Date: | 04/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |