Organization
PATHWAYS HOLDINGS LLC
Active
Other names
Holland Pathways Behavioral Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BRUCKSTEIN (PRESIDENT & CEO)
(516) 507-8465
Entity
Organization
Contact information
Practice address
551 S HOLLAND ST, WICHITA, KS 67209-2007
(316) 260-1435
Mailing address
180 SYLVAN AVE, ENGLEWOOD CLIFFS, NJ 07632-2512
(718) 570-6018
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KDADS051519D
THE KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES
KS
Enumeration date
12/04/2020
Last updated
01/29/2021
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