Provider Demographics
NPI:1184149361
Name:POSITIVE PATHWAYS
Entity type:Organization
Organization Name:POSITIVE PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESCRIBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:K
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-299-5003
Mailing Address - Street 1:23 S CARBON AVE
Mailing Address - Street 2:SUITE 21
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-2853
Mailing Address - Country:US
Mailing Address - Phone:435-299-5003
Mailing Address - Fax:
Practice Address - Street 1:23 S CARBON AVE
Practice Address - Street 2:SUITE 21
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-2853
Practice Address - Country:US
Practice Address - Phone:435-299-5003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10410631-0142261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty