| NPI | 1912306705 |
|---|---|
| Doing Business As | MENTAL HEALTH SPECIALIST AT PATHWAYS |
| Entity Type | Organization |
| Authorized Contact | PETER ODENWALD Vice President 443-481-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2022-11-17 |