Organization
PATHWAYS TO LIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ONTARIO LAMONT CHAPPELL MS (CEO)
(252) 347-6455
Entity
Organization
Contact information
Practice address
1510 BREEZEPORT WAY, SUITE 100, SUFFOLK, VA 23435-3736
(252) 347-5996
(252) 413-0526
Mailing address
1510 BREEZEPORT WAY, 100, SUFFOLK, VA 23435-3736
(252) 347-6455
(252) 413-0526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1229
VA
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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