Organization
COMPASSION PATHWAY BEHAVIORAL HEALTH LLC
Active
Other names
Compassion Pathway Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IFEANYI VALLEY EZEANI (CHIEF EXECUTIVE OFFICER)
(916) 870-9676
Entity
Organization
Contact information
Practice address
5410 WHITE LOTUS WAY, ELK GROVE, CA 95757-4354
(916) 870-9676
Mailing address
5410 WHITE LOTUS WAY, ELK GROVE, CA 95757-4354
(916) 870-9676
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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