Provider Demographics
NPI:1952816324
Name:PATHWAY TO SERENITY INC.
Entity Type:Organization
Organization Name:PATHWAY TO SERENITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:VINCE
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-631-0366
Mailing Address - Street 1:4214 E TOLIVER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-6241
Mailing Address - Country:US
Mailing Address - Phone:713-631-0366
Mailing Address - Fax:281-447-6071
Practice Address - Street 1:4214 E TOLIVER ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-6241
Practice Address - Country:US
Practice Address - Phone:713-631-0366
Practice Address - Fax:281-447-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health