Organization
UPWARD PATH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MICHAEL MCCAULEY II (MANAGER)
(806) 239-4624
Entity
Organization
Contact information
Practice address
3280 SOUTH COUNTRY CLUB WAY, BUILDING B, SUITE 112, TEMPE, AZ 85282
(480) 689-3525
Mailing address
3280 SOUTH COUNTRY CLUB WAY, BUILDING B, SUITE 112, TEMPE, AZ 85282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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