Organization
PATHWAYS YOUTH SERVICES LLC
Active
Parent organization
PATHWAYS YOUTH SERVICES III
Other names
Pathways Youth Services III
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS YOUTH SERVICES III
Authorized official
DORIS CHISM (OWNER)
(434) 476-5059
Entity
Organization
Contact information
Practice address
1010 MARIONS TRL, HALIFAX, VA 24558-3126
(434) 476-5059
(434) 476-5060
Mailing address
1010 MARIONS TRL, HALIFAX, VA 24558-3126
(434) 476-5059
(434) 476-5060
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
180214001
VA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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