| Organization Name: | PATHWAY TO RECOVERY, INC. |
| NPI Number: | 1659384824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENNIS L MCCOLGIN (CEO/PRESIDENT) |
| Mailing Address: | 2119 Oak St La Marque |
| State: | TX US |
| Postal Code: | 775684246 |
| Phone Number: | 4099334366 |
| Fax Number: | 4099334367 |
| NPI Enumeration Date: | 08/15/2006 |
| NPI Last Update Date: | 03/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1904-A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |