Organization
PATHWAYS YOUTH SERVICES, LLC
Active
Other names
Pathways Youth Services III
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS DORETHA CHISM (OWNER)
(434) 476-1040
Entity
Organization
Contact information
Practice address
1099 BAGWELL DR, SCOTTSBURG, VA 24589-2712
(434) 476-1040
(434) 476-1070
Mailing address
1099 BAGWELL DR, SCOTTSBURG, VA 24589-2712
(434) 476-1040
(434) 476-1070
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CRF-279
VA
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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