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Maitri Path To Wellness Pllc

Substance Use Disorder Rehabilitation Clinic/Center in Peru, IL · enumerated 2022 · authorized official Brenden Fasken, Chief Operating Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184359168

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Registry record

Entity type Organization (Type 2)
Legal business name Maitri Path To Wellness Pllc
Practice address 710 Peoria St, Peru, IL, 61354
Phone (815) 780-0690
Fax (815) 410-1937
Enumeration date Jul 22, 2022
Last updated in NPPES Apr 17, 2024

Taxonomy & classification

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brenden Fasken
Title Chief Operating Officer
Phone (815) 780-0690

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Maitri Path To Wellness Pllc?
The NPI for Maitri Path To Wellness Pllc is 1184359168, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Maitri Path To Wellness Pllc?
NPPES lists Brenden Fasken (Chief Operating Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-17.