Organization
PATHWAYS RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANITA SANDS (EXECUTIVE DIRECTOR/CEO)
(916) 532-4044
Entity
Organization
Contact information
Practice address
1101 KENSINGTON DR, ROSEVILLE, CA 95661-5312
(916) 622-0874
Mailing address
PO BOX 847, FOLSOM, CA 95763-0847
(916) 532-4044
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
310023AP
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310023AP
CA DEPARTMENT OF HEALTH CARE SERVICES
CA
Enumeration date
11/19/2017
Last updated
04/21/2022
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