| NPI | 1164762563 |
|---|---|
| Other Name | PATHWAYS YOUTH SERVICES III |
| Entity Type | Organization |
| Authorized Contact | DORIS DORETHA CHISM Owner 434-476-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: VA CRF-279) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |