NPI 1083967376

Fsl Pathways

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Phoenix, AZ

Practice location

Address: 4023 W Hayward Ave, Phoenix, AZ 85051-5749
Phone: (602) 285-0505
Fax: (602) 285-1838
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

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence BH4104 (AZ)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arizona →

Registry record

NPI: 1083967376
Entity type: Organization
NPI issued: 24 Oct 2012
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.