Organization
GOLDEN PATH HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHIA ELLIOTT ENNETT OWNER (CEO)
(910) 977-6894
Entity
Organization
Contact information
Practice address
11022 N 28TH DR STE 125, PHOENIX, AZ 85029-5636
(910) 977-6894
Mailing address
11022 N 28TH DR STE 125, PHOENIX, AZ 85029-5636
(910) 977-6894
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
09/15/2023
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