Organization
PATHWAYS TO SELF DETERMINATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET A. PATTERSON (MANAGING MEMBER)
(248) 723-7152
Entity
Organization
Contact information
Practice address
237 N OLD WOODWARD AVE, BUILDING A, SUITE 5, BIRMINGHAM, MI 48009-5305
(248) 723-7152
(248) 723-7162
Mailing address
237 N OLD WOODWARD AVE, BUILDING A, SUITE 5, BIRMINGHAM, MI 48009-5305
(248) 723-7152
(248) 723-7162
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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