Organization
PATHWAYS BEHAVIORAL HEALTH NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JOAN MACKNISKAS (SR DIRECTOR OF NET REVENUE)
(773) 213-0776
Entity
Organization
Contact information
Practice address
2601 NAVISTAR DR, LISLE, IL 60532-3679
(855) 910-0157
Mailing address
2601 NAVISTAR DR, LISLE, IL 60532-3679
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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