Provider Demographics
NPI:1154686533
Name:PATHWAYS, INC.
Entity Type:Organization
Organization Name:PATHWAYS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCGLOIN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:301-997-9393
Mailing Address - Street 1:P.O. BOX 129
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20636
Mailing Address - Country:US
Mailing Address - Phone:301-374-9137
Mailing Address - Fax:301-374-9136
Practice Address - Street 1:2670 CRAIN HWY
Practice Address - Street 2:SUITE 409
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2806
Practice Address - Country:US
Practice Address - Phone:301-542-8069
Practice Address - Fax:240-419-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMH-991251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health