Paving A New Pathway INC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Essex, MD. Organization (NPI-2).
NPI number1962198697
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1962198697
- Entity type
- Organization (NPI-2)
- Legal business name
- Paving A New Pathway INC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2023
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
630 Eastern BlvdEssex, MD 21221-4907
Phone 410-870-4983
Mailing address
630 Eastern BlvdEssex, MD 21221-4907
Phone 410-870-4983
Authorized official
Yusuf Winston-Bey
Owner
4108704983
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