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Organization

PATHWAYS DEVELOPMENTAL SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TYRONE JACKSON MELVIN JR. (EXECUTIVE DIRECTOR)
(757) 438-5447
Entity
Organization

Contact information

Practice address
6022 JEFFERSON AVE, SUITE 205 A, NEWPORT NEWS, VA 23605-3000
(757) 240-4840
(757) 240-4846
Mailing address
6022 JEFFERSON AVE, SUITE 205 A, NEWPORT NEWS, VA 23605-3000
(757) 240-4840
(757) 240-4846

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1264
VA

Other

Enumeration date
09/14/2009
Last updated
09/14/2009
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