| Pathways To Life, Inc. | |
|
1510 Breezeport Way Suite 100 Suffolk VA 23435-3736 | |
| (252) 347-5996 | |
| (252) 413-0526 |
| Full Name | Pathways To Life, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1510 Breezeport Way, Suffolk, Virginia |
| Authorized Official Name and Position | Ontario Lamont Chappell (CEO) |
| Authorized Official Contact | 2523476455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Life, Inc. 1510 Breezeport Way 100 Suffolk VA 23435-3736 Ph: (252) 347-6455 | Pathways To Life, Inc. 1510 Breezeport Way Suite 100 Suffolk VA 23435-3736 Ph: (252) 347-5996 |
| NPI Number | 1821356510 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821356510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1229 (Virginia) | Primary |
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