Organization
INNOVATIVE PATHWAYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVETTA JONES (EXECUTIVE DIRECTOR)
(336) 782-3707
Entity
Organization
Contact information
Practice address
3969 CREEKMOORE DR, WINSTON SALEM, NC 27101-2274
(336) 782-3707
Mailing address
PO BOX 4972, GREENSBORO, NC 27404-4972
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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