Provider Demographics
NPI:1831228188
Name:NEW PATHWAYS INC
Entity type:Organization
Organization Name:NEW PATHWAYS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-296-3684
Mailing Address - Street 1:11024 MONTGOMERY BLVD NE # 343
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3962
Mailing Address - Country:US
Mailing Address - Phone:505-296-3684
Mailing Address - Fax:505-296-3706
Practice Address - Street 1:11024 MONTGOMERY BLVD NE # 343
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3962
Practice Address - Country:US
Practice Address - Phone:505-296-3684
Practice Address - Fax:505-296-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM000D4455Medicaid