NPI 1043690555
Cognitive Pathways
Practice location
- Address
- 2504 Washington St Suite 403, Waukegan, IL 60085-4983
- Phone
- (224) 733-1615
- Fax
- (224) 733-1620
Authorised official
- Name
- David R Stiver
- Title
- Director / Mental Health Therapist
- Phone
- (224) 733-1615
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1043690555
- Entity type
- Organization
- NPI issued
- 1 Jun 2015
- Record last updated
- 18 Nov 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.