Healthcare Provider Details

I. General information

NPI: 1194616458
Provider Name (Legal Business Name): PATHWAZE RECOVERY CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5929
US

IV. Provider business mailing address

2596 FOREST HILL BLVD
WEST PALM BEACH FL
33406-5929
US

V. Phone/Fax

Practice location:
  • Phone: 315-767-1432
  • Fax:
Mailing address:
  • Phone: 315-767-1432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA S. BATCHELDER
Title or Position: QUALITY AND REGULATORY
Credential:
Phone: 786-487-0433