| Path, Inc | |
|
8220 Castor Ave Philadelphia PA 19152-2729 | |
| (215) 728-4597 | |
| Not Available |
| Full Name | Path, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8220 Castor Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Jeff Brown (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2157284597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Path, Inc 8220 Castor Ave Philadelphia PA 19152-2729 Ph: (215) 728-4597 | Path, Inc 8220 Castor Ave Philadelphia PA 19152-2729 Ph: (215) 728-4597 |
| NPI Number | 1104982461 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104982461 | NPI | - | NPPES |
| 1000015840001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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