NPI 1063578730

Fsl Pathways

Organisation Mental Illness Community Based Residential Treatment Facility Glendale, AZ

Practice location

Address: 7145 W Sierra Vista Dr, Glendale, AZ 85303-3520
Phone: (623) 934-6166
Mailing address: 1201 E Thomas Rd, Phoenix, AZ 85014-5734

Authorised official

Name: Charnise Moore
Title: Chief Program Officer
Phone: (602) 285-1800

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence BH1181 (AZ)

Other Community Based Residential Treatment Facility, Mental Illness providers in Arizona →

Registry record

NPI: 1063578730
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 20 Mar 2026

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.