Provider Demographics
NPI:1649455320
Name:FAMILY PATHS
Entity type:Organization
Organization Name:FAMILY PATHS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:DE VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LICSA
Authorized Official - Phone:602-284-8540
Mailing Address - Street 1:14201 N HAYDEN RD
Mailing Address - Street 2:SUITE A2B
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2931
Mailing Address - Country:US
Mailing Address - Phone:602-284-8540
Mailing Address - Fax:
Practice Address - Street 1:14201 N HAYDEN RD
Practice Address - Street 2:SUITE A2B
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2931
Practice Address - Country:US
Practice Address - Phone:602-284-8540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-01
Last Update Date:2008-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251B00000X, 251C00000X, 251S00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health