NPI 1164762563

Pathways Youth Services, LLC

Organisation Mental Illness Community Based Residential Treatment Facility Scottsburg, VA

Practice location

Address: 1099 Bagwell Dr, Scottsburg, VA 24589-2712
Phone: (434) 476-1040
Fax: (434) 476-1070

Authorised official

Name: Doris Doretha Chism
Title: Owner
Phone: (434) 476-1040

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence CRF-279 (VA)

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

Registry record

NPI: 1164762563
Entity type: Organization
NPI issued: 21 Feb 2013
Record last updated: 21 Feb 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.