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General NPI Number Information
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NPI Number | 1841157658
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Entity Type | Organization
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Legal Business Name | GOLDEN PATHWAY HAVEN LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 2161 SAND CREEK RD UNIT 34
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City | BRENTWOOD
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State | CA
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Zip | 94513
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Country | US
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Telephone | 650-242-5717
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Fax | 650-242-5717
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Provider Business Mailing Address
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Address Line | 2161 SAND CREEK RD UNIT 34
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City | BRENTWOOD
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State | CA
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Zip | 94513-7137
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Country | US
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Telephone | 650-242-5717
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | PAMELA BARROW
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Credential |
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Telephone | 650-242-5717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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