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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