Provider Demographics
NPI:1952654337
Name:PATHWAYS TO HOPE LLC
Entity Type:Organization
Organization Name:PATHWAYS TO HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-943-9842
Mailing Address - Street 1:925B PEACHTREE ST NE
Mailing Address - Street 2:SUITE 960
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3918
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:925B PEACHTREE ST NE
Practice Address - Street 2:SUITE 960
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3918
Practice Address - Country:US
Practice Address - Phone:248-943-9842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness