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Organization
SHAPING PATHWAYS
Active
Organization
SHAPING PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLY ROBERT POOL MS (OWNER)
(833) 526-2333
Entity
Organization
Contact information
Practice address
21801 CACTUS AVE STE A, MARCH AIR RESERVE BASE, CA 92518-3020
(858) 722-1897
Mailing address
21801 CACTUS AVE STE A, MARCH AIR RESERVE BASE, CA 92518-3020
(833) 526-2333
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
05/13/2022
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