Organization
PATHWAYS COMMUNITY SUPPORT OF TEXAS, INC.
Active
Parent organization
PATHWAYS HEALTH AND COMMUNITY SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS HEALTH AND COMMUNITY SERVICES, LLC
Authorized official
RICHARD WALLACE (STATE DIRECTOR)
(512) 343-8606
Entity
Organization
Contact information
Practice address
1524 S IH-35, SUITE 210, AUSTIN, TX 78704
(512) 343-8606
(512) 343-8620
Mailing address
1524 IH-35 SOUTH, SUITE 210, AUSTIN, TX 78704
(512) 343-8606
(512) 343-8620
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152232801
—
TX
05
—
153227701
—
TX
05
—
155583101
—
TX
Enumeration date
11/07/2006
Last updated
09/07/2016
Update your record
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