Organization
GREAT PATHWAY CONSULTING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALBERTINA SAMOHT DANCY QMHP-A (MANAGER)
(757) 777-3477
Entity
Organization
Contact information
Practice address
1545 CROSSWAYS BLVD, SUITE 250, CHESAPEAKE, VA 23320-0205
(757) 777-3477
Mailing address
1545 CROSSWAYS BLVD, SUITE 250, CHESAPEAKE, VA 23320-0205
(757) 777-3477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
14227
VA
343900000X
Non-emergency Medical Transport (VAN)
14227
VA
Other
Enumeration date
04/12/2016
Last updated
04/14/2016
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