OrganizationActive
Fsl Pathways
NPI 1811053663 · Mental Illness Community Based Residential Treatment Facility · Phoenix, AZ
Provider details
- NPI number
- 1811053663
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charnise Moore, Chief Program Officer(602) 285-1800
- License
- BH1441 (AZ)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14214 N 20th Way
Phoenix, AZ 85022-4682
Phone: (602) 923-0828
Street-level locationGet directions
Mailing address
1201 E Thomas Rd
Phoenix, AZ 85014-5734
Other names (DBA / former)
- Other name
- Agl - Cave Creek
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.