Pathways Real Life Recovery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATHWAYS REAL LIFE RECOVERY

Doing business as

Pathways Wholeness Center

Practice address

189 E Center St
Glenwood, UT 84730-7783

Phone

(801) 856-7836

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PATHWAYS INCAs reported in NPPES

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

Authorized official

Name

Wendy Patton, LSUDC

Title

Executive Director

Phone

(801) 856-7836

Specialties & licenses 1

Addresses

Other names 1

• Pathways Wholeness Center Doing business as

Part of

Pathways Real Life Recovery

Locations

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1497319214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 S 700 E STE 205",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701809",
            "telephone_number": "801-277-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E CENTER ST",
            "city": "GLENWOOD",
            "state": "UT",
            "postal_code": "847307783",
            "telephone_number": "801-856-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS REAL LIFE RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATHWAYS INC",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-856-7836",
        "authorized_official_credential": "LSUDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways Wholeness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catina Rice, CMHC

• Community/Behavioral Health Agency in Glenwood, UT
• Providers in Glenwood, UT by specialty
• Community/Behavioral Health Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.