Organization
FSL PATHWAYS
Active
Organization
FSL PATHWAYS
Active
Other names
Hayward House, AllThrive365 BHS
Organization subpart
No
Provider details
NPI number
Authorized official
CHARNISE MOORE DRPH, MPH, CHC, CHRC (CHIEF PROGRAM OFFICER)
(602) 285-1800
Entity
Organization
Contact information
Practice address
4023 W HAYWARD AVE, PHOENIX, AZ 85051-5749
(602) 285-0505
(602) 285-1838
Mailing address
1201 E THOMAS RD, PHOENIX, AZ 85014-5734
(602) 285-0505
(602) 288-1838
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
BH4104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH4104
ARIZONA BEHAVIORAL HEALTH SERVICES LICENSE
AZ
Enumeration date
10/24/2012
Last updated
03/20/2026
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