Organization
PATHWAYS COMMUNITY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL BUMPHUS MBA (ADMINISTRATOR)
(317) 993-2473
Entity
Organization
Contact information
Practice address
1634 E MINNESOTA ST, INDIANAPOLIS, IN 46203-2842
(317) 993-2473
Mailing address
1634 E MINNESOTA ST, INDIANAPOLIS, IN 46203-2842
(317) 993-2473
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/13/2025
Last updated
04/30/2026
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