| Shaping Pathways | |
|
21801 Cactus Ave Ste A March Air Reserve Base CA 92518-3020 | |
| (858) 722-1897 | |
| Not Available |
| Full Name | Shaping Pathways |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 21801 Cactus Ave Ste A, March Air Reserve Base, California |
| Authorized Official Name and Position | Bradly Robert Pool (OWNER) |
| Authorized Official Contact | 8335262333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaping Pathways 21801 Cactus Ave Ste A March Air Reserve Base CA 92518-3020 Ph: (833) 526-2333 | Shaping Pathways 21801 Cactus Ave Ste A March Air Reserve Base CA 92518-3020 Ph: (858) 722-1897 |
| NPI Number | 1679041495 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679041495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |