Provider Demographics
NPI:1043787021
Name:PATHWAYS 4 MENTAL HEALTH MONARCH
Entity Type:Organization
Organization Name:PATHWAYS 4 MENTAL HEALTH MONARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:443-877-6959
Mailing Address - Street 1:102 E CECIL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-4057
Mailing Address - Country:US
Mailing Address - Phone:443-877-6959
Mailing Address - Fax:443-281-0111
Practice Address - Street 1:102 E CECIL AVE
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-4057
Practice Address - Country:US
Practice Address - Phone:443-877-6959
Practice Address - Fax:443-281-0111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)