Organization
PATHWAYS BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ALAN BECKER (BUSINESS MANAGER)
(319) 235-6571
Entity
Organization
Contact information
Practice address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
(319) 235-6571
Mailing address
3362 UNIVERSITY AVE, WATERLOO, IA 50701-2006
(319) 235-6571
(319) 235-6571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IA
251S00000X
Community/Behavioral Health Agency
Primary
—
IA
324500000X
Substance Abuse Rehabilitation Facility
1236
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0117394
—
IA
Enumeration date
12/11/2006
Last updated
08/05/2016
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