| Pathways To Life, Inc. | |
|
4228 1st Ave Suite 5 Tucker GA 30084-4426 | |
| (252) 695-0269 | |
| (252) 413-0526 |
| Full Name | Pathways To Life, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4228 1st Ave, Tucker, Georgia |
| Authorized Official Name and Position | Ontario Lamont Chappell (CEO) |
| Authorized Official Contact | 2526950269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways To Life, Inc. 1200 E Fire Tower Rd Greenville NC 27858-4196 Ph: (252) 695-0269 | Pathways To Life, Inc. 4228 1st Ave Suite 5 Tucker GA 30084-4426 Ph: (252) 695-0269 |
| NPI Number | 1609272145 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 11/11/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609272145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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