Great Pathway Consulting Group Llc | |
1545 Crossways Blvd Suite 250 Chesapeake VA 23320-0205 | |
(757) 777-3477 | |
Not Available |
Full Name | Great Pathway Consulting Group Llc |
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Speciality | Community/behavioral Health |
Location | 1545 Crossways Blvd, Chesapeake, Virginia |
Authorized Official Name and Position | Albertina Samoht Dancy (MANAGER) |
Authorized Official Contact | 7577773477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Pathway Consulting Group Llc 1545 Crossways Blvd Suite 250 Chesapeake VA 23320-0205 Ph: (757) 777-3477 | Great Pathway Consulting Group Llc 1545 Crossways Blvd Suite 250 Chesapeake VA 23320-0205 Ph: (757) 777-3477 |
NPI Number | 1366806754 |
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Provider Enumeration Date | 04/12/2016 |
Last Update Date | 04/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366806754 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 14227 (Virginia) | Primary |
343900000X | Non-emergency Medical Transport (van) | 14227 (Virginia) | Secondary |
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