Whalio Doctors

NPI 1376906651

Pathways Residential and Support Services

Organisation Mental Illness Community Based Residential Treatment Facility Fort Worth, TX

Practice location

Address
2528 Coldstream Dr, Fort Worth, TX 76123-1238
Phone
(817) 882-6237
Fax
(817) 882-6238

Authorised official

Name
Jeanette Wade
Title
Owner/Director
Phone
(817) 706-5360

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320800000X
Physical Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320700000X

Registry record

NPI
1376906651
Entity type
Organization
NPI issued
3 Apr 2016
Record last updated
3 Apr 2016

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.