| Innovative Pathways Inc. | |
|
14895 E 14th St Suite 465 San Leandro CA 94578-2922 | |
| (510) 206-2030 | |
| (510) 346-7101 |
| Full Name | Innovative Pathways Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14895 E 14th St, San Leandro, California |
| Authorized Official Name and Position | Bahrig Mikaelian (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5102062030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Pathways Inc. 1534 Plaza Ln Suite 358 Burlingame CA 94010-3204 Ph: (510) 206-2030 | Innovative Pathways Inc. 14895 E 14th St Suite 465 San Leandro CA 94578-2922 Ph: (510) 206-2030 |
| NPI Number | 1407000896 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407000896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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