| Organization Name: | POTOMAC PATHWAYS, LLC |
| NPI Number: | 1881853620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BROOKE H BRODY (OWNER) |
| Mailing Address: | 7945 Macarthur Blvd Suite 214 Cabin John |
| State: | MD US |
| Postal Code: | 20818 |
| Phone Number: | 3019877284 |
| Fax Number: | 2406308847 |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCA400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |