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Organization

FORWARD PATHWAYS - W CAMELBACK CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID T JOHNSON (PROGRAM ADMINISTRATOR)
(623) 887-2678
Entity
Organization

Contact information

Practice address
1990 W CAMELBACK RD STE 218, PHOENIX, AZ 85015-3464
(623) 887-2678
Mailing address
1990 W CAMELBACK RD STE 218, PHOENIX, AZ 85015-3464
(623) 887-2678

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center

Other

Enumeration date
09/03/2025
Last updated
10/06/2025
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