Pathways To Life, Inc | |
1015 Conference Dr Greenville NC 27858-5969 | |
(252) 695-0269 | |
(252) 413-0526 |
Full Name | Pathways To Life, Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 1015 Conference Dr, Greenville, North Carolina |
Authorized Official Name and Position | Ontario Lamont Chappell (PRESIDENT) |
Authorized Official Contact | 2526950269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pathways To Life, Inc 1202 E Fire Tower Rd Greenville NC 27858-4196 Ph: (252) 695-0269 | Pathways To Life, Inc 1015 Conference Dr Greenville NC 27858-5969 Ph: (252) 695-0269 |
NPI Number | 1003059668 |
---|---|
Provider Enumeration Date | 04/13/2009 |
Last Update Date | 08/21/2020 |
Certification Date | 08/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003059668 | NPI | - | NPPES |
8301656 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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