Arizona Pathways of Life, Unity and Love

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

BH-2742 Issued in AZ

Legal business name

ARIZONA PATHWAYS OF LIFE, UNITY AND LOVE

Practice address

4531 W Indian School Rd
Phoenix, AZ 85031-2820

Phone

(602) 484-9662

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ellen Joanne Gardner, L.I.S.A.C.

Title

Ceo

Phone

(602) 264-3045

Specialties & licenses 1

Addresses

Other names 1

• Arizona Pathways Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073725859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W DEVONSHIRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154809",
            "telephone_number": "602-264-3045",
            "fax_number": "602-265-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850312820",
            "telephone_number": "602-484-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PATHWAYS OF LIFE, UNITY AND LOVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-264-3045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.I.S.A.C."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH-2742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Pathways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.