Provider Demographics
NPI:1306572862
Name:PATHWAY TO MENTALITY
Entity type:Organization
Organization Name:PATHWAY TO MENTALITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY & PSYCHIATRIC NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEBOAH-NORMENT
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:609-933-9121
Mailing Address - Street 1:440 US HIGHWAY 130
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-2787
Mailing Address - Country:US
Mailing Address - Phone:609-933-9121
Mailing Address - Fax:
Practice Address - Street 1:440 US HIGHWAY 130
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-2787
Practice Address - Country:US
Practice Address - Phone:609-933-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)