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Contact Information

POTOMAC PATHWAYS, LLC
7945 MACARTHUR BLVD
SUITE 214
CABIN JOHN, MD20818
 Phone: 301-987-7284
 Fax: 240-630-8847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for POTOMAC PATHWAYS, LLC

NPI Number 1881853620
LBN Legal business name POTOMAC PATHWAYS, LLC
Authorized official BROOKE BRODY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2008
Last updated 01/13/2016 - About 10 years ago
Identifiers
MD License # 12360
MD License # 905755
MD License # LCA400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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