Organization
A PATH TO A NEW WORLD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARIKA DAVIDSON (OWNER)
(602) 535-6001
Entity
Organization
Contact information
Practice address
11242 N 19TH AVE STE 24, PHOENIX, AZ 85029-4857
(602) 535-6001
Mailing address
11242 N 19TH AVE STE 24, PHOENIX, AZ 85029-4857
(602) 535-6001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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