Provider Demographics
NPI:1619574837
Name:SEACOAST PATHWAYS
Entity Type:Organization
Organization Name:SEACOAST PATHWAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRACHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-748-8955
Mailing Address - Street 1:155 BREWERY LN STE 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4995
Mailing Address - Country:US
Mailing Address - Phone:603-570-9804
Mailing Address - Fax:
Practice Address - Street 1:155 BREWERY LN STE 102
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4995
Practice Address - Country:US
Practice Address - Phone:603-570-9804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health