Organization
PATHWAYS TO FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE C OLSON (OWNER)
(701) 426-6308
Entity
Organization
Contact information
Practice address
208 E MAIN AVE, BISMARCK, ND 58501-3848
(701) 426-6308
Mailing address
208 E MAIN AVE, BISMARCK, ND 58501-3848
(701) 426-6308
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1181
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1181
FACILITY LICENSURE
ND
01
—
27175
BCBSND PROVIDER NUMBER
ND
01
—
6853001
BCBSND CLINIC NUMBER
ND
01
—
98915
BCBSND PROVIDER NUMBER
ND
01
—
98916
BCBSND PROVIDER NUMBER
ND
Enumeration date
03/17/2007
Last updated
08/22/2020
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