PATHWAYS 1 SOBER LIVING
NPI 1720659816
Substance Abuse Rehabilitation Facility in Azusa, CA

Active since July 08, 2021
1033 N SOLDANO AVE, AZUSA, CA 91702(626) 515-6424(626) 515-8279 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About PATHWAYS 1 SOBER LIVING

This page provides the complete NPI Profile along with additional information for Pathways 1 Sober Living, a provider established in Azusa, California operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1720659816 assigned on July 2021. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Miss Madonna Michelle Lecaine (Executive Assistant)

NPI
1720659816 Verify this NPI
Provider Name
PATHWAYS 1 SOBER LIVING
Entity Type
Organization
Location Address
1033 N SOLDANO AVE AZUSA, CA 91702
Location Phone
(626) 515-6424
Location Fax
(626) 515-8279
Mailing Address
13312 RANCHERO RD # 18-168 OAK HILLS, CA 92344
Mailing Phone
(626) 373-6006
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-08-2021
Last Update Date
07-08-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS MADONNA MICHELLE LECAINE

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(626) 412-6812

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720659816, enumerated as an "organization" on July 08, 2021.

The provider is located at 1033 N SOLDANO AVE AZUSA, CA 91702 and the phone number is (626) 515-6424.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.