Organization
POTOMAC PATHWAYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BROOKE H BRODY LCSW-C, LCADC (OWNER)
(301) 987-7284
Entity
Organization
Contact information
Practice address
7945 MACARTHUR BLVD, SUITE 214, CABIN JOHN, MD 20818
(301) 987-7284
(240) 630-8847
Mailing address
7945 MACARTHUR BLVD, SUITE 214, CABIN JOHN, MD 20818
(301) 987-7284
(240) 630-8847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA400
MD
1041C0700X
Clinical Social Worker
12360
MD
251S00000X
Community/Behavioral Health Agency
Primary
905755
MD
Other
Enumeration date
06/06/2008
Last updated
01/13/2016
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