Agl - Canyon

LBN: Fsl Pathways
Agl - Canyon is an health care organization with primary practice located at 13629 N 21St Dr , Phoenix AZ 85029-1502. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Fsl Pathways can be contacted via phone (602) 285-0505, or through Iniguez, Annette M via phone (602) 285-0505.

Contact Information

Primary practice address
13629 N 21St Dr Phoenix AZ 85029-1502
Phone: (602) 285-0505
Fax: (602) 285-1838
Website:
Map and Directions
Authorized official contact:
Name: Iniguez, Annette M
Phone: (602) 285-0505

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH3294 Arizona

Profile Details

NPI number 1508092776
LBN Legal business name Fsl Pathways
DBA Doing business as Agl - Canyon
Authorized official Iniguez, Annette M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2009
Last updated Aug 26th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508092776 NPPES
Arizona Other 433075 AHCCCS ID #
Arizona Other BH3294 AHCCCS ID #

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