Shaping Pathways
NPI #1679041495 in March Air Reserve Base, California
Provider Information
- NPI Number
- 1679041495
- Entity Type
- Organization
- Organization Name
- Shaping Pathways
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 9, 2018
- Last Updated
- May 13, 2022
Practice Location
- Address
- 21801 CACTUS AVE STE A
- State
- California
- ZIP Code
- 92518-3020
- Phone
- (858) 722-1897
Authorized Official
- Name
- MR. BRADLY ROBERT POOL, MS
- Title
- OWNER
- Phone
- (833) 526-2333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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