Healthcare Provider Details

I. General information

NPI: 1164085171
Provider Name (Legal Business Name): NEW PATHS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 04/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

939 MARTIN LUTHER KING AVE
FLINT MI
48503-1488
US

IV. Provider business mailing address

765 E HAMILTON AVE
FLINT MI
48505-4707
US

V. Phone/Fax

Practice location:
  • Phone: 810-233-5340
  • Fax: 810-233-3565
Mailing address:
  • Phone: 810-233-5340
  • Fax: 810-233-3565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMES HUDGENS
Title or Position: CEO
Credential:
Phone: 810-233-5340