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 (OWNER)
(480) 921-4050
Entity
Organization
Contact information
Practice address
225 SEA RIDGE RD, APTOS, CA 95003-4325
(602) 568-9735
(480) 921-4050
Mailing address
4820 S MILL AVE STE 101, TEMPE, AZ 85282-7739
(602) 568-9735
(480) 921-4050
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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