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FSL PATHWAYS
NPI 1508092776
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since June 02, 2009
13629 N 21ST DR, PHOENIX, AZ 85029(602) 285-0505(602) 285-1838 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2026, Sep 2, 2025, Jun 11, 2025 (3 updates tracked since 2025).

About Fsl Pathways NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FSL PATHWAYS (NPI 1508092776) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since June 2009. The organization lists Charnise Moore, Chief Program Officer, as its authorized official.

NPPES Registry Identity

NPI1508092776
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameFSL PATHWAYS
Location Address13629 N 21ST DRPhoenix, AZ 85029-1502
Mailing Address1201 E Thomas RdPhoenix, AZ 85014-5734 · (602) 285-0505 · Fax (602) 285-1838
Phone(602) 285-0505
Fax(602) 285-1838
Organization SubpartNo
Authorized OfficialCharnise MooreChief Program Officer · (602) 285-1800
Enumeration DateJune 2, 2009
Last NPPES UpdateMarch 20, 20263 updates tracked since enumeration
NPPES CertifiedMarch 20, 2026
✔ NPI 1508092776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in AZ · BH3294
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
13629 N 21ST DR, Phoenix, AZ 85029
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Other Names 1

Other NameAgl - Canyon

Other Identifiers 2

Other433075AZ · Ahcccs Id #
OtherBH3294AZ · Behavioral Health

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FSL PATHWAYS
Community Based Residential Treatment Facility, Mental Illness
13629 N 21ST DR
PHOENIX, AZ 85029
Maricopa County (602) 285-0505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fsl Pathways's NPI number?

The NPI number for Fsl Pathways is 1508092776. It was assigned to this organization in the NPPES registry on June 2, 2009. The provider is also known as AGL - Canyon.

Where is Fsl Pathways located?

Fsl Pathways is located at 13629 N 21st Dr, Phoenix, AZ 85029. The listed phone number is (602) 285-0505.

What is Fsl Pathways's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Fsl Pathways was last updated on March 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.