Provider Demographics
NPI:1730951641
Name:PATHWAYS RECOVERY
Entity type:Organization
Organization Name:PATHWAYS RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-532-4044
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95763-0847
Mailing Address - Country:US
Mailing Address - Phone:916-532-4044
Mailing Address - Fax:
Practice Address - Street 1:3551 BANKHEAD RD
Practice Address - Street 2:
Practice Address - City:LOOMIS
Practice Address - State:CA
Practice Address - Zip Code:95650-9033
Practice Address - Country:US
Practice Address - Phone:916-622-0874
Practice Address - Fax:877-494-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility