Provider Demographics
NPI:1598841603
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:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KENNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-795-4085
Mailing Address - Street 1:589 MINOT AVE.
Mailing Address - Street 2:P.O. BOX 1267
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04211-1267
Mailing Address - Country:US
Mailing Address - Phone:207-795-4085
Mailing Address - Fax:207-777-1205
Practice Address - Street 1:589 MINOT AVE.
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04211-1267
Practice Address - Country:US
Practice Address - Phone:207-795-4085
Practice Address - Fax:207-777-1205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management