Organization
INNOVATIVE PATHWAYS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BAHRIG MIKAELIAN MA (EXECUTIVE DIRECTOR)
(510) 206-2030
Entity
Organization
Contact information
Practice address
14895 E 14TH ST, SUITE 465, SAN LEANDRO, CA 94578-2922
(510) 206-2030
(510) 346-7101
Mailing address
1534 PLAZA LN, SUITE 358, BURLINGAME, CA 94010-3204
(510) 206-2030
(650) 259-0332
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
11/11/2008
Last updated
04/26/2012
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