Provider Demographics
NPI:1972672848
Name:PATHWAYS, MI
Entity Type:Organization
Organization Name:PATHWAYS, MI
Other - Org Name:CHILD & FAMILY SERVICES OF WESTERN MI, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN HORSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:616-396-2301
Mailing Address - Street 1:412 CENTURY LN
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4285
Mailing Address - Country:US
Mailing Address - Phone:616-396-2301
Mailing Address - Fax:616-396-8070
Practice Address - Street 1:412 CENTURY LN
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4285
Practice Address - Country:US
Practice Address - Phone:616-396-2301
Practice Address - Fax:616-396-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health