Provider Demographics
NPI:1689421406
Name:PATHPOINT
Entity type:Organization
Organization Name:PATHPOINT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:NEWBOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-963-1086
Mailing Address - Street 1:864 E SANTA CLARA ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2939
Mailing Address - Country:US
Mailing Address - Phone:805-643-1446
Mailing Address - Fax:805-643-0271
Practice Address - Street 1:864 E SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2939
Practice Address - Country:US
Practice Address - Phone:805-643-1446
Practice Address - Fax:805-643-0271
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATHPOINT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-30
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health