Organization
PATHS TO SELF DIRECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAUN SMITH (CEO)
(484) 387-4165
Entity
Organization
Contact information
Practice address
1108 W WALNUT ST, ALLENTOWN, PA 18102-4734
(484) 387-4165
Mailing address
1108 W WALNUT ST, ALLENTOWN, PA 18102-4734
(484) 387-4165
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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