| Pathway to Peace Addiction Recovery and Life Coaching, LLC | |
|
45305 W Horse Mesa Rd Maricopa AZ 85139-9128 | |
| (520) 280-8831 | |
| Not Available |
| Full Name | Pathway to Peace Addiction Recovery and Life Coaching, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 45305 W Horse Mesa Rd, Maricopa, Arizona |
| Authorized Official Name and Position | Frederick Thomas Westby (OWNER) |
| Authorized Official Contact | 5202808831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway to Peace Addiction Recovery and Life Coaching, LLC 45305 W Horse Mesa Rd Maricopa AZ 85139-9128 Ph: (520) 280-8831 | Pathway to Peace Addiction Recovery and Life Coaching, LLC 45305 W Horse Mesa Rd Maricopa AZ 85139-9128 Ph: (520) 280-8831 |
| NPI Number | 1679995260 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679995260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LISAC-11886 (Arizona) | Primary |
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