NPI 1053742049

Pathways Youth Services LLC

Organisation Mental Illness Community Based Residential Treatment Facility Halifax, VA

Practice location

Address: 1010 Marions Trl, Halifax, VA 24558-3126
Phone: (434) 476-5059
Fax: (434) 476-5060

Authorised official

Name: Doris Chism
Title: Owner
Phone: (434) 476-5059

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 180214001 (VA)

Other Community Based Residential Treatment Facility, Mental Illness providers in Virginia →

Registry record

NPI: 1053742049
Entity type: Organization
NPI issued: 2 Dec 2013
Record last updated: 2 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.