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Organization
PATHWAYS TO SELF-RELIANCE
Active
Organization
PATHWAYS TO SELF-RELIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL SHAMAR GRAHAM LCAS (CEO)
(336) 920-1481
Entity
Organization
Contact information
Practice address
8025 N POINT BLVD STE 283, WINSTON SALEM, NC 27106-3860
(336) 920-1481
Mailing address
8025 N POINT BLVD STE 283, WINSTON SALEM, NC 27106-3860
(336) 920-1481
(336) 245-1804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
11/15/2024
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