Organization
THERAPEUTIC PATHWAYS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG E HINTZ PSY. D. (PRESIDENT THERAPEUTIC PATHWAYS, S.C)
(262) 925-0425
Entity
Organization
Contact information
Practice address
161 W WISCONSIN AVE STE 2C, PEWAUKEE, WI 53072-3467
(262) 925-0405
Mailing address
PO BOX 634, EAST TROY, WI 53120-0634
(262) 925-0425
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2423-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39137900
—
WI
Enumeration date
09/25/2008
Last updated
09/25/2008
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