Organization
PATHFINDER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARTA MARTINEZ-EVANS MS, CAC III (PROGRAM DIRECTOR)
(970) 259-6588
Entity
Organization
Contact information
Practice address
3473 MAIN AVE STE 23, DURANGO, CO 81301-4040
(970) 259-6588
(970) 259-6567
Mailing address
3473 MAIN AVE STE 23, DURANGO, CO 81301-4040
(970) 259-6588
(970) 259-6567
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1417-00
CO
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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