Organization
PATHWAYS TO LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ONTARIO LAMONT CHAPPELL (CEO)
(252) 695-0269
Entity
Organization
Contact information
Practice address
4228 1ST AVE, SUITE 5, TUCKER, GA 30084-4426
(252) 695-0269
(252) 413-0526
Mailing address
1200 E FIRE TOWER RD, GREENVILLE, NC 27858-4196
(252) 695-0269
(252) 413-0526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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