Organization
PATHWAYS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIRGIT LOCKLEAR (EXECUTIVE DIRECTOR)
(301) 373-3065
Entity
Organization
Contact information
Practice address
501 MAIN ST STE 203, PRINCE FREDERICK, MD 20678-6111
(301) 373-3065
Mailing address
PO BOX 129, HOLLYWOOD, MD 20636-0129
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/11/2021
Last updated
11/20/2024
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