Organization · Type 2 NPI

FSL Pathways

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Phoenix, AZ

NPI number 1083967376 Active

Practice location

4023 W Hayward Ave
Phoenix, AZ 85051-5749

Call (602) 285-0505 Map

Fax (602) 285-1838

Mailing address

1201 E Thomas Rd
Phoenix, AZ 85014-5734

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	BH4104 (AZ)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Another provider at this address

FSL PathwaysMental Illness Community Based Residential Treatment Facility Phoenix, AZ NPI 1356407035

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Phoenix

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NPI record

NPI: 1083967376
Entity type: Organization (Type 2)
Issued: Oct 24, 2012
Last updated: Mar 20, 2026
Status: Active

Other names

<unavail>
Allthrive365 BHS · doing business as
Hayward House · other name

Authorized official

Charnise Moore, DRPH, MPH, CHC, CHRC
Chief Program Officer
(602) 285-1800

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083967376

FSL Pathways's National Provider Identifier is 1083967376, issued on Oct 24, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 20, 2026.