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PATHWAYS YOUTH SERVICES LLC NPI 1164762563


NPI Information

NPI: 1164762563
Provider Name: PATHWAYS YOUTH SERVICES, LLC

Other Name: PATHWAYS YOUTH SERVICES III

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1099 BAGWELL DR
SCOTTSBURG, VA
ZIP 24589
Phone: (434) 476-1040
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PATHWAYS YOUTH SERVICES, LLC is a community based residential treatment facility mental illness in Scottsburg, VA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PATHWAYS YOUTH SERVICES, LLC NPI is 1164762563. The provider is registered as an organization entity type.
The provider Other Name Is Pathways Youth Services Iii.

The provider's business location address is:

1099 BAGWELL DR
SCOTTSBURG, VA
ZIP 24589-712
Phone: (434) 476-1040
Fax: (434) 476-1070

The provider's authorized official is Doris Doretha Chism .
The authorized official title is Owner and has the following contact phone number (434) 476-1040.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 2/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessCRF-279VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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