Organization
PATHWAY TO PEACE ADDICTION RECOVERY AND LIFE COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK THOMAS WESTBY LISAC (OWNER)
(520) 280-8831
Entity
Organization
Contact information
Practice address
45305 W HORSE MESA RD, MARICOPA, AZ 85139-9128
(520) 280-8831
Mailing address
45305 W HORSE MESA RD, MARICOPA, AZ 85139-9128
(520) 280-8831
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LISAC-11886
AZ
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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