| Organization Name: | HEALING PATHWAYS MEDICAL CLINIC, INC. |
| NPI Number: | 1265616544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL CLIFFORD COPELAND (CEO) |
| Mailing Address: | 2101 Stone Blvd Suite # 240 West Sacramento |
| State: | CA US |
| Postal Code: | 956914044 |
| Phone Number: | 9163768416 |
| Fax Number: | 9163760759 |
| NPI Enumeration Date: | 12/22/2007 |
| NPI Last Update Date: | 06/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0804X |
| License Number: | 20A5642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Child & Adolescent Psychiatry |
| Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |