Organization
NU PATHWAY HEALTHCARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN GARDNER (OWNER & PRESIDENT)
(301) 928-4725
Entity
Organization
Contact information
Practice address
4656 LIVINGSTON RD SE, WASHINGTON, DC 20032-3149
(202) 932-8149
(301) 291-7071
Mailing address
14300 GALLANT FOX LN STE 202, BOWIE, MD 20715-4033
(202) 932-8149
(301) 291-7071
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
310400000X
Assisted Living Facility
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
07/10/2024
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