Organization
A FRESH PATHWAY TO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LAFALAISE CPRP (CEO)
(443) 787-8189
Entity
Organization
Contact information
Practice address
22 W PENNSYLVANIA AVE STE 200, TOWSON, MD 21204-5017
(410) 330-1595
Mailing address
103 MARINERS WAY, CAMBRIDGE, MD 21613-3059
(443) 787-8189
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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