Provider Demographics
NPI:1083824023
Name:POSITIVE PATHWAYS LLC
Entity Type:Organization
Organization Name:POSITIVE PATHWAYS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOMENIC
Authorized Official - Middle Name:
Authorized Official - Last Name:VERDINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-224-2812
Mailing Address - Street 1:1900 MURRAY AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1657
Mailing Address - Country:US
Mailing Address - Phone:412-224-2812
Mailing Address - Fax:412-227-8117
Practice Address - Street 1:1900 MURRAY AVE STE 301
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1657
Practice Address - Country:US
Practice Address - Phone:412-224-2812
Practice Address - Fax:412-227-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2021-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1023030000010Medicaid
PA001886895OtherHIGHMARK