Provider Demographics
NPI:1659503001
Name:PATHWAYS, INC
Entity Type:Organization
Organization Name:PATHWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-878-3350
Mailing Address - Street 1:2311 PARK AVE
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:BURLEY
Mailing Address - State:ID
Mailing Address - Zip Code:83318-2170
Mailing Address - Country:US
Mailing Address - Phone:208-549-0330
Mailing Address - Fax:208-549-0400
Practice Address - Street 1:115 W IDAHO ST
Practice Address - Street 2:
Practice Address - City:WEISER
Practice Address - State:ID
Practice Address - Zip Code:83672-1945
Practice Address - Country:US
Practice Address - Phone:208-878-3350
Practice Address - Fax:208-878-3351
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHWAYS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-19
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT-9261QM0801X, 261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health