Agl - Peck

LBN: Fsl Pathways
Agl - Peck is an health care organization with primary practice located at 8963 W Peck Dr , Glendale AZ 85305-2440. 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 (623) 872-8944, or through Iniguez, Annette via phone (602) 285-0505.

Contact Information

Primary practice address
8963 W Peck Dr Glendale AZ 85305-2440
Phone: (623) 872-8944
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Iniguez, Annette
Phone: (602) 285-0505

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X BH1183 Arizona

Profile Details

NPI number 1780740449
LBN Legal business name Fsl Pathways
DBA Doing business as Agl - Peck
Authorized official Iniguez, Annette
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1780740449 NPPES
Arizona MEDICAID 346420
Arizona Other BH1183

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