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Organization

PATHWAYS RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DANITA SANDS (EXECUTIVE DIRECTOR/CEO)
(916) 622-0874
Entity
Organization

Contact information

Practice address
775 SUNRISE AVE STE 210, ROSEVILLE, CA 95661-4527
(916) 735-8377
Mailing address
PO BOX 847, FOLSOM, CA 95763-0847

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
310023BP
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
310023BP
CA DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
11/20/2017
Last updated
03/29/2018
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