Organization
PATHWAYS ADULT LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA JOYCE BRYANT (EXECUTIVE DIRECTOR)
(817) 726-2974
Entity
Organization
Contact information
Practice address
921 W CANNON ST, FORT WORTH, TX 76104-3026
(817) 810-0606
(817) 810-0616
Mailing address
921 W CANNON ST, FORT WORTH, TX 76104-3026
(817) 810-0606
(817) 810-0616
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
124381
TX
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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