MEDICARE: PATHWAYS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740827070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATHWAYS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 129
Second Line	:
City	:	HOLLYWOOD
State	:	MD
Zip	:	20636-0129
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6427 CRAIN HWY
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20772-4139
Country	:	US
Telephone Number	:	301-373-3065
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	GERARD MCGLOIN
Credential	:
Telephone Number	:	301-373-3065

Provider Enumeration Date	:	12/05/2019
Last Update Date	:	12/05/2019

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Directions to “PATHWAYS, INC. ” Practice Location

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