Organization
CAMELOT CARE CENTERS, LLC
Active
Parent organization
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS HEALTH AND COMMUNITY SUPPORT, LLC.
Authorized official
RONICA R PATEL (STATE EXECUTIVE DIRECTOR)
(630) 773-1985
Entity
Organization
Contact information
Practice address
4747 LINCOLN MALL DR STE 305, MATTESON, IL 60443-3814
(708) 747-7250
(708) 647-7258
Mailing address
333 W PIERCE RD STE 175, ITASCA, IL 60143-3120
(708) 747-7250
(708) 647-7258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05-IPI-141
—
IL
Enumeration date
01/04/2010
Last updated
06/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us