Organization
AZEVEDO INC DBA THE PATHWAY PROGRAM
Active
Other names
The Pathway Program
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LOCKE AZEVEDO LISAC (EXECUTIVE DIRECTOR)
(480) 921-4050
Entity
Organization
Contact information
Practice address
3900 ROCKLIN RD STE 100, ROCKLIN, CA 95677-2708
(602) 568-9735
Mailing address
2036 N GILBERT RD STE 2-262, MESA, AZ 85203-2139
(602) 568-9735
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
05/14/2025
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