Healthcare Provider Details

I. General information

NPI: 1881707651
Provider Name (Legal Business Name): PATHWAYS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44065 AIRPORT VIEW DRIVE
HOLLYWOOD MD
20636-0129
US

IV. Provider business mailing address

PO BOX 129
HOLLYWOOD MD
20636-0129
US

V. Phone/Fax

Practice location:
  • Phone: 301-373-3065
  • Fax: 301-373-3265
Mailing address:
  • Phone: 301-373-3065
  • Fax: 301-373-3265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GERARD J MCGLOIN
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 301-373-3065