Pathways Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

340098AP Issued in CA

Legal business name

PATHWAYS RECOVERY, LLC

Doing business as

PATHWAYS DETOX

Practice address

6538 Grey Oak CT
Citrus Heights, CA 95621-1024

Phone

(916) 735-8377

Fax

(877) 494-5088

NPI assigned

Mar 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael McCrea Graham, MBA, MS

Title

President/Owner

Phone

(916) 398-0729

Specialties & licenses 1

Addresses

Other names 1

• PATHWAYS DETOX Doing business as

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1396069829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6538 GREY OAK CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211024",
            "telephone_number": "916-735-8377",
            "fax_number": "877-494-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6538 GREY OAK CT",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211024",
            "telephone_number": "916-735-8377",
            "fax_number": "877-494-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MCCREA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-398-0729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MS"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "340098AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATHWAYS DETOX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.