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Organization

NEW PATHWAYS THERAPEUTIC SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELAINE M. WILSON LCSWC, LICSW (OWNER CEO)
(301) 577-7390
Entity
Organization

Contact information

Practice address
4200 FORBES BLVD STE 202, LANHAM, MD 20706-4829
(301) 577-7390
(301) 577-7392
Mailing address
5120 GLENN DALE WOODS CT, GLENN DALE, MD 20769-9114
(301) 577-7390
(301) 577-7392

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
407988400
MD
Enumeration date
07/17/2007
Last updated
07/17/2007
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