Provider Demographics
NPI:1396999595
Name:ALTERNATIVE PATHS, INC
Entity type:Organization
Organization Name:ALTERNATIVE PATHS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIANACIAL DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:GILROY
Authorized Official - Suffix:
Authorized Official - Credentials:FD
Authorized Official - Phone:330-725-9195
Mailing Address - Street 1:246 NORTHLAND DR
Mailing Address - Street 2:SUITE 220 A
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3441
Mailing Address - Country:US
Mailing Address - Phone:330-725-9195
Mailing Address - Fax:330-725-9187
Practice Address - Street 1:246 NORTHLAND DR
Practice Address - Street 2:SUITE 220 A
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3441
Practice Address - Country:US
Practice Address - Phone:330-725-9195
Practice Address - Fax:330-725-9187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0762278Medicaid
OH9929651Medicare PIN