Path Forward Wellbeing LLC
Organization Active NPI Clinic/Center · Afton, MN
NPI 1295562874 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1295562874
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PATH FORWARD WELLBEING LLC
- Practice address
- 5405 Osgood Ave S
Afton, MN 55001-9628 - Phone
- (651) 295-9668
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
Authorized official
- Name
- Judy Ratliff
- Title
- Owner
- Phone
- (651) 295-9668
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
5405 Osgood Ave S
Afton, MN 55001-9628
Mailing address
5405 Osgood Ave S
Afton, MN 55001-9628
Other providers in Afton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.