Provider Demographics
NPI:1851727218
Name:NEW PATHWAYS RECOVERY AND WELLNESS
Entity Type:Organization
Organization Name:NEW PATHWAYS RECOVERY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA OR MACHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:LITCHFIELD OR NIETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-901-0435
Mailing Address - Street 1:435 W 400 S STE 101
Mailing Address - Street 2:
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84101-1152
Mailing Address - Country:US
Mailing Address - Phone:801-901-0345
Mailing Address - Fax:801-456-9769
Practice Address - Street 1:435 W 400 S STE 101
Practice Address - Street 2:
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84101-1152
Practice Address - Country:US
Practice Address - Phone:801-901-0435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-17
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11073251S00000X
UT11072251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty