Organization
FSL PATHWAYS
Active
Other names
AGL - Evans, AllThrive365 BHS
Organization subpart
No
Provider details
NPI number
Authorized official
CHARNISE MOORE DRPH, MPH, CHC, CHRC (CHIEF PROGRAM OFFICER)
(602) 285-1800
Entity
Organization
Contact information
Practice address
3916 W EVANS DR, PHOENIX, AZ 85053-5454
(602) 866-1673
Mailing address
1201 E THOMAS RD, PHOENIX, AZ 85014-5734
(602) 285-1800
(602) 285-1838
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH2217
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
844896
—
AZ
01
—
BH2217
ADHS BHS LICENSE
AZ
Enumeration date
12/29/2006
Last updated
03/20/2026
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