Eternal Pathway LLC

NPI #1003483447 in Phoenix, Arizona

Provider Information

NPI Number
1003483447
Entity Type
Organization
Organization Name
Eternal Pathway LLC
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Jun 4, 2021
Last Updated
Jun 4, 2021

Practice Location

Address
11225 N 28TH DR STE D104
State
Arizona
ZIP Code
85029-5609
Phone
(602) 607-5422

Authorized Official

Name
LINETTE WILSON
Title
OWNER/ MANAGER
Phone
(305) 731-6917

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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