Pathway to Freedom

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1232 Issued in ND

Legal business name

PATHWAY TO FREEDOM

Practice address

418 E Rosser Ave
Suite a
Bismarck, ND 58501-4046

Phone

(701) 426-6308

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey R Olson, LAC

Title

Clinical Director / Owner

Phone

(701) 426-6308

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352419200000",
    "number": "1922352194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E ROSSER AVE",
            "address_2": "SUITE A",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014046",
            "telephone_number": "701-426-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E ROSSER AVE",
            "address_2": "SUITE A",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014046",
            "telephone_number": "701-426-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAY TO FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "701-426-6308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ND",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhani Patel, MD
• Prem Nath Pathak, MBBS
• Pathology Consultants, PC
• Kellen Elaine Pathroff, O.D.
• Robert Allen Pathroff, MD
• Pathways to Freedom
• Bigirimana Patience
• Alissa Patterson, LMSW
• Jenysa Rose Patterson
• Nicole Patterson, LSW

• Substance Use Disorder Rehabilitation Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.