Organization
PATHWAYS CENTERS FOR EMOTIONAL WELL-BEING, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS CARLISLE CARR LISW (OWNER/PRESIDENT)
(712) 225-2811
Entity
Organization
Contact information
Practice address
215 N 2ND ST, CHEROKEE, IA 51012-1833
(712) 225-2811
Mailing address
215 N 2ND ST, PO BOX 822, CHEROKEE, IA 51012-1833
(712) 225-2811
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789723000
—
IA
Enumeration date
06/05/2008
Last updated
06/05/2008
Update your record
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