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Organization
DESTINED PATHWAYS
Active
Organization
DESTINED PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE COLEMAN (COO)
(614) 582-8737
Entity
Organization
Contact information
Practice address
1479 MOUNT VERNON AVE, COLUMBUS, OH 43203-1615
(614) 582-8737
Mailing address
PO BOX 796, BRICE, OH 43109-0796
(614) 582-8737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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