Provider Demographics
NPI:1801115928
Name:GREENER PATHS, INC.
Entity type:Organization
Organization Name:GREENER PATHS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:CRANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-742-6572
Mailing Address - Street 1:4226 MORAINE ST
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-5718
Mailing Address - Country:US
Mailing Address - Phone:307-742-6572
Mailing Address - Fax:307-742-6572
Practice Address - Street 1:4226 MORAINE ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-5718
Practice Address - Country:US
Practice Address - Phone:307-742-6572
Practice Address - Fax:307-742-6572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management