Provider Demographics
NPI:1790862720
Name:PATHWAYS TO STRONG FAMILIES, INC
Entity Type:Organization
Organization Name:PATHWAYS TO STRONG FAMILIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:RIEDL
Authorized Official - Suffix:II
Authorized Official - Credentials:MS, RAS
Authorized Official - Phone:916-338-6440
Mailing Address - Street 1:2505 MUIRFIELD CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-2403
Mailing Address - Country:US
Mailing Address - Phone:916-223-4778
Mailing Address - Fax:916-338-7535
Practice Address - Street 1:8725 WATT AVE
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-9747
Practice Address - Country:US
Practice Address - Phone:916-338-6444
Practice Address - Fax:916-338-7535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA340077AN101YA0400X
CAPT 26123101YM0800X
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3464OtherCA DRG MEDI-CAL