NPI Code Details Logo

NPI 1548118185

NPI 1548118185 : PATHWAYS TO LIFE : BOUNTIFUL, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548118185
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    PATHWAYS TO LIFE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/19/2026
-----------------------------------------------------
    Last Update Date     |    03/19/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1740 S 50 W 
-----------------------------------------------------
    City                 |    BOUNTIFUL
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84010-5215
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    385-777-9194
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1740 S 50 W 
-----------------------------------------------------
    City                 |    BOUNTIFUL
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84010-5215
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    385-777-9194
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     THOMAS  HAMILTON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    385-777-9194
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    320800000X
-----------------------------------------------------
    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.