Organization
FAMILY PATHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON DE VALLE LPC, LICSA (CHIEF EXECUTIVE OFFICER)
(602) 284-8540
Entity
Organization
Contact information
Practice address
14201 N HAYDEN RD, SUITE A2B, SCOTTSDALE, AZ 85260-2931
(602) 284-8540
Mailing address
14201 N HAYDEN RD, SUITE A2B, SCOTTSDALE, AZ 85260-2931
(602) 284-8540
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
AZ
251C00000X
Developmentally Disabled Services Day Training Agency
—
AZ
251S00000X
Community/Behavioral Health Agency
—
AZ
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
AZ
Other
Enumeration date
01/01/2008
Last updated
01/01/2008
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