NPI 1376906651
Pathways Residential and Support Services
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
Physical Disabilities Residential Treatment Facility
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.