Provider Demographics
NPI:1497862114
Name:PATHWAY, INC.
Entity Type:Organization
Organization Name:PATHWAY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOMAX
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-894-5405
Mailing Address - Street 1:PO BOX 311206
Mailing Address - Street 2:
Mailing Address - City:ENTERPRISE
Mailing Address - State:AL
Mailing Address - Zip Code:36331-1206
Mailing Address - Country:US
Mailing Address - Phone:334-894-5405
Mailing Address - Fax:334-894-5408
Practice Address - Street 1:109 PRIVATE ROAD 1202
Practice Address - Street 2:
Practice Address - City:NEW BROCKTON
Practice Address - State:AL
Practice Address - Zip Code:36351
Practice Address - Country:US
Practice Address - Phone:334-894-5405
Practice Address - Fax:334-894-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children