Pathways Developmental Services Inc. | |
6022 Jefferson Ave Suite 205 A Newport News VA 23605-3000 | |
(757) 240-4840 | |
(757) 240-4846 |
Full Name | Pathways Developmental Services Inc. |
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Speciality | Community/behavioral Health |
Location | 6022 Jefferson Ave, Newport News, Virginia |
Authorized Official Name and Position | Tyrone Jackson Melvin (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7574385447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pathways Developmental Services Inc. 6022 Jefferson Ave Suite 205 A Newport News VA 23605-3000 Ph: (757) 240-4840 | Pathways Developmental Services Inc. 6022 Jefferson Ave Suite 205 A Newport News VA 23605-3000 Ph: (757) 240-4840 |
NPI Number | 1790018372 |
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Provider Enumeration Date | 09/14/2009 |
Last Update Date | 09/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790018372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1264 (Virginia) | Primary |
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