Provider Demographics
NPI:1912123720
Name:PATHWAYS, INC
Entity Type:Organization
Organization Name:PATHWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ISIDRO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:203-869-5656
Mailing Address - Street 1:175 MILBANK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6616
Mailing Address - Country:US
Mailing Address - Phone:203-869-5656
Mailing Address - Fax:
Practice Address - Street 1:175 MILBANK AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6616
Practice Address - Country:US
Practice Address - Phone:203-869-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management