# PATHWAY TO SUCCESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356469712
- **Authorized official:** MS. STELLA K FOWLER (ADMINISTRATOR)
- **Authorized official phone:** (336) 229-2008

## Contact information

- **Practice address:** 112 STAGG ST, BURLINGTON, NC 27217-2654
- **Practice address phone:** (336) 229-2008
- **Practice address fax:** (336) 229-2008
- **Mailing address:** 2445 HILLFORD DR, BURLINGTON, NC 27217-3173
- **Mailing address phone:** (336) 229-5580
- **Mailing address fax:** (336) 229-2008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311Z00000X | Custodial Care Facility | FCL-001-028 | NC | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/04/2009