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Organization

PATHWAYS RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL M GRAHAM MBA (COMPLIANCE MANAGER)
(916) 398-0729
Entity
Organization

Contact information

Practice address
4904 HOLLYCREST WAY, FAIR OAKS, CA 95628-5114
(916) 735-8377
(877) 494-5088
Mailing address
PO BOX 847, FOLSOM, CA 95763-0847
(916) 735-8377
(877) 494-5088

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
08/02/2020
Last updated
08/02/2020
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