Healthcare Provider Details

I. General information

NPI: 1063329423
Provider Name (Legal Business Name): PATHWAYS COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11356 LEFFINGWELL RD
NORWALK CA
90650-3646
US

IV. Provider business mailing address

11356 LEFFINGWELL RD
NORWALK CA
90650-3646
US

V. Phone/Fax

Practice location:
  • Phone: 562-467-5440
  • Fax: 562-467-5553
Mailing address:
  • Phone: 562-467-5440
  • Fax: 562-467-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TRACY GINTER
Title or Position: DIRECTOR OF STATE OPERATIONS
Credential: MBA, CBCS
Phone: 657-465-9497