| NPI | 1003706102 |
|---|---|
| Doing Business As | SAGE PATH THERAPEUTIC DAY TREATMENT |
| Entity Type | Organization |
| Authorized Contact | SOPHIA C SILLS-TAILOR CEO 757-724-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-08-18 |