Organization
PATHWAY FAMILY CENTER
Active
Organization
PATHWAY FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA EHLERT (CLAIMS ADMINISTRATOR)
(248) 443-0105
Entity
Organization
Contact information
Practice address
6405 CASTLEWAY CT., STE. 102, INDIANAPOLIS, IN 46250
(317) 585-6953
(586) 465-0109
Mailing address
6405 CASTLEWAY CT., STE. 102, INDIANAPOLIS, IN 46250
(317) 585-6953
(586) 465-0109
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
12497
OH
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1400-0-ASR
IN
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
630740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308672
ANTHEM BLUE CROSS
IN
01
—
20498
BCBSM
MI
Enumeration date
08/23/2006
Last updated
08/22/2020
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