# PATHWAYS OF SOUTHWESTERN PENNSYLVANIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891914040
- **Authorized official:** MRS. KELLIE KAMINSKI (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (724) 229-0851

## Contact information

- **Practice address:** 655 JEFFERSON AVE, WASHINGTON, PA 15301-4118
- **Practice address phone:** (724) 229-0851
- **Practice address fax:** (724) 229-9252
- **Mailing address:** 655 JEFFERSON AVE, WASHINGTON, PA 15301-4118
- **Mailing address phone:** (724) 229-0851
- **Mailing address fax:** (724) 229-9252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 01/05/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000015200017 | — | PA |