Organization
PATHWAY TO A LASTING RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK MICHAEL JORDAN MA CADC (OWNER)
(708) 344-0884
Entity
Organization
Contact information
Practice address
1701 S 1ST AVE, SUITE# 310, MAYWOOD, IL 60153-2442
(708) 344-0884
(708) 343-5629
Mailing address
1701 S 1ST AVE, SUITE# 310, MAYWOOD, IL 60153-2442
(708) 344-0884
(708) 343-5629
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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