Healthcare Provider Details

I. General information

NPI: 1285734277
Provider Name (Legal Business Name): PATHWAY CARING FOR CHILDEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6370 WISE AVE NW
NORTH CANTON OH
44720-7350
US

IV. Provider business mailing address

6370 WISE AVE NW
NORTH CANTON OH
44720-7350
US

V. Phone/Fax

Practice location:
  • Phone: 330-493-0083
  • Fax: 330-493-3689
Mailing address:
  • Phone: 330-493-0083
  • Fax: 330-493-3689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number547
License Number StateOH

VIII. Authorized Official

Name: MR. ROBERT TERRY
Title or Position: ASSOCIATE EXECUTIVE DIRECTOR
Credential: MSSA, LISW
Phone: 330-493-0083