| Paving A New Pathway Inc | |
|
630 Eastern Blvd Essex MD 21221-4907 | |
| (410) 870-4983 | |
| Not Available |
| Full Name | Paving A New Pathway Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 630 Eastern Blvd, Essex, Maryland |
| Authorized Official Name and Position | Yusuf Winston-bey (OWNER) |
| Authorized Official Contact | 4108704983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paving A New Pathway Inc 630 Eastern Blvd Essex MD 21221-4907 Ph: (410) 870-4983 | Paving A New Pathway Inc 630 Eastern Blvd Essex MD 21221-4907 Ph: (410) 870-4983 |
| NPI Number | 1962198697 |
|---|---|
| Provider Enumeration Date | 04/14/2023 |
| Last Update Date | 05/28/2024 |
| Certification Date | 05/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962198697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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