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Organization

PATHWAYS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA M MULLINS (OFFICE MANAGER)
(301) 373-3065
Entity
Organization

Contact information

Practice address
2670 CRAIN HWY STE 300, WALDORF, MD 20601-2817
(301) 373-3065
(240) 419-3201
Mailing address
PO BOX 129, HOLLYWOOD, MD 20636-0129
(301) 373-3065
(240) 419-3201

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
424P
MEDICARE PIN
MD
Enumeration date
03/07/2019
Last updated
03/07/2019
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