| 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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