Organization
GUIDING PATHS SUPPORTIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITA VIANN RANDOLPH DAVISON (PRESIDENT)
(804) 892-1378
Entity
Organization
Contact information
Practice address
11361 CEDAR RUN RD, SOUTH PRINCE GEORGE, VA 23805-4105
(804) 892-1378
Mailing address
11361 CEDAR RUN RD, SOUTH PRINCE GEORGE, VA 23805-4105
(804) 892-1378
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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