Provider Demographics
NPI:1679119812
Name:RIGHT PATH LLC
Entity Type:Organization
Organization Name:RIGHT PATH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYONA
Authorized Official - Middle Name:
Authorized Official - Last Name:RELF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-962-9557
Mailing Address - Street 1:2121 S MILL AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-2289
Mailing Address - Country:US
Mailing Address - Phone:480-912-5122
Mailing Address - Fax:
Practice Address - Street 1:2121 S MILL AVE STE 212
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-2289
Practice Address - Country:US
Practice Address - Phone:480-912-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health