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Organization

PATHWAYS TO PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN PARKER (DIRECTOR)
(626) 538-7181
Entity
Organization

Contact information

Practice address
630 W OLIVE AVE, MONROVIA, CA 91016-7117
(626) 538-7181
Mailing address
3552 S GILES AVE UNIT 1S, CHICAGO, IL 60653-1160
(626) 538-7181

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174H00000X
Health Educator
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251V00000X
Voluntary or Charitable Agency
332B00000X
Durable Medical Equipment & Medical Supplies
374J00000X
Doula

Other

Enumeration date
11/10/2025
Last updated
07/20/2026
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