Basic Information
| Provider Information | |||||||||
| NPI: | 1982962353 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PATHWAYS TO HOUSING PA, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5201 OLD YORK RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191412985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153901500 | ||||||||
| FaxNumber: | 2673232590 | ||||||||
| Practice Location | |||||||||
| Address1: | 5201 OLD YORK RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191412985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153901500 | ||||||||
| FaxNumber: | 2673232590 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/24/2012 | ||||||||
| LastUpdateDate: | 07/05/2017 | ||||||||
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| AuthorizedOfficialLastName: | SIMIRIGLIA | ||||||||
| AuthorizedOfficialFirstName: | CHRISTINE | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT & CEO | ||||||||
| AuthorizedOfficialTelephone: | 2153901500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | M.S. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251K00000X | 10222701600001 | PA | N | Agencies | Public Health or Welfare | 251S00000X | 10222701600001 | PA | N | Agencies | Community/Behavioral Health | 251B00000X | 10222701600001 | PA | Y | Agencies | Case Management |
No ID Information.