Organization
PATHWAYS CBH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PORTER (CREDENTIALING COORDINATOR)
(660) 890-8126
Entity
Organization
Contact information
Practice address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
(660) 835-9449
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 890-8186
(660) 835-9449
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
MO
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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