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Organization
PATHWAYS OF SOUTHWESTERN PENNSYLVANIA, INC.
Active
Organization
PATHWAYS OF SOUTHWESTERN PENNSYLVANIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE KAMINSKI (CHIEF EXECUTIVE OFFICER)
(724) 229-0851
Entity
Organization
Contact information
Practice address
655 JEFFERSON AVE, WASHINGTON, PA 15301-4118
(724) 229-0851
(724) 229-9252
Mailing address
655 JEFFERSON AVE, WASHINGTON, PA 15301-4118
(724) 229-0851
(724) 229-9252
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000015200017
—
PA
Enumeration date
04/25/2007
Last updated
01/05/2016
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