Provider Demographics
NPI:1104251115
Name:PATHWAYS AND PARTNERSHIPS, INC.
Entity type:Organization
Organization Name:PATHWAYS AND PARTNERSHIPS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WOODROOF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-586-5128
Mailing Address - Street 1:8125 DELAWARE TER
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:KS
Mailing Address - Zip Code:66018-7700
Mailing Address - Country:US
Mailing Address - Phone:913-586-5128
Mailing Address - Fax:775-878-2247
Practice Address - Street 1:8125 DELAWARE TER
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:KS
Practice Address - Zip Code:66018-7700
Practice Address - Country:US
Practice Address - Phone:913-586-5128
Practice Address - Fax:775-878-2247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200973440AMedicaid