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General NPI Number Information
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NPI Number | 1881583292
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Entity Type | Organization
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Legal Business Name | PATH 2 PURPOSE
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 15 S MONASTERY AVE
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City | BALTIMORE
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State | MD
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Zip | 21229-3633
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Country | US
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Telephone | 227-215-3623
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Fax |
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Provider Business Mailing Address
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Address Line | 7434 CATTERICK CT
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City | WINDSOR MILL
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State | MD
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Zip | 21244-5600
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Country | US
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Telephone | 443-286-9535
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICKIA WILLIAMS
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Credential |
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Telephone | 443-286-9535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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