Organization
PATHWAYS TO SELF-DETERMINATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET PATTERSON (EXECUTIVE DIRECTOR)
(248) 723-7152
Entity
Organization
Contact information
Practice address
237 N OLD WOODWARD AVE STE 5, BIRMINGHAM, MI 48009-5305
(248) 723-7152
(248) 723-7162
Mailing address
237 N OLD WOODWARD AVE STE 5, BIRMINGHAM, MI 48009-5305
(248) 723-7152
(248) 723-7162
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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