NPI 1740005545

Pathway to Success LLC

Organisation Mental Illness Community Based Residential Treatment Facility Petersburg, VA

Practice location

Address: 122 S Jones St, Petersburg, VA 23803-4108
Phone: (804) 986-0365

Authorised official

Name: Mieko a Taliaferro
Title: Ceo
Phone: (804) 986-0365

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

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

Registry record

NPI: 1740005545
Entity type: Organization
NPI issued: 18 Nov 2024
Record last updated: 18 Nov 2024

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.