| A Pathway To A Clear Mind, Inc | |
|
12801 Old Fort Rd Ste. 303 Fort Washington MD 20744-2844 | |
| (240) 429-5390 | |
| (240) 260-0743 |
| Full Name | A Pathway To A Clear Mind, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12801 Old Fort Rd, Fort Washington, Maryland |
| Authorized Official Name and Position | Emma Norfleet (CEO/PRESIDENT) |
| Authorized Official Contact | 2404295390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Pathway To A Clear Mind, Inc 12801 Old Fort Rd Ste. 303 Fort Washington MD 20744-2844 Ph: (240) 429-5390 | A Pathway To A Clear Mind, Inc 12801 Old Fort Rd Ste. 303 Fort Washington MD 20744-2844 Ph: (240) 429-5390 |
| NPI Number | 1205291622 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 05/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205291622 | NPI | - | NPPES |
| 741080 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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