Healthcare Provider Details

I. General information

NPI: 1285312876
Provider Name (Legal Business Name): RECOVERY PATHWAYS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2023
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 E CEDAR AVE
GLADWIN MI
48624-2215
US

IV. Provider business mailing address

1009 WASHINGTON AVE
BAY CITY MI
48708-5705
US

V. Phone/Fax

Practice location:
  • Phone: 989-928-3566
  • Fax: 989-391-9596
Mailing address:
  • Phone: 989-928-3566
  • Fax: 989-391-9596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBER LEIGH DEBELAK
Title or Position: DIRECTOR
Credential:
Phone: 989-928-3566