Organization
PATH TO PROGRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIAH DAHL (CO-OWNER)
(334) 237-9788
Entity
Organization
Contact information
Practice address
2727 W GLENDALE AVE # 202, PHOENIX, AZ 85051-8447
(334) 237-9788
Mailing address
2727 W GLENDALE AVE # 202, PHOENIX, AZ 85051-8447
(334) 237-9788
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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