Pathways Center For Behavioral And Developmental Growth in Lagrange - Community/behavioral Health
Pathways Center For Behavioral And Developmental Growth - NPI 1114089018
Pathways Center For Behavioral And Developmental Growth is a Community/behavioral Health in Lagrange, Georgia. Pathways Center For Behavioral And Developmental Growth practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Pathways Center For Behavioral And Developmental Growth is 1114089018. The last update date is 2013-02-26.
Pathways Center For Behavioral And Developmental Growth's current location address is 122 Gordon Commercial Drive, Lagrange, Georgia. You can contact this provider via phone number 7068454045 and fax number 7068454367. The mailing address for Pathways Center For Behavioral And Developmental Growth is 122 Gordon Commercial Drive, Lagrange, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pathways Center For Behavioral And Developmental Growth |
|---|---|
| Address | 122 Gordon Commercial Drive, Lagrange, Georgia |
| Phone Number | 7068454045 |
| Fax Number | 7068454367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Benefield Russell Jade |
| Credentials | MBA |
| Telephone Number | 7068454045 |
NPI Number Detail
| NPI Number | 1114089018 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2013-02-26 |
Provider Mailing Address Detail
| Address | 122 Gordon Commercial Drive |
|---|---|
| City | Lagrange |
| State | Georgia (GA) |
| Post Code | 302405740 |
| Phone Number | 7068454045 |
| Fax Number | 7068454367 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000599332G | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pathways Center For Behavioral And Developmental Growth by the Centers for Medicare & Medicaid Services?
The Pathways Center For Behavioral And Developmental Growth has been issued the NPI (National Provider Identifier) 1114089018 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Pathways Center For Behavioral And Developmental Growth is physically located?
The Pathways Center For Behavioral And Developmental Growth is physically situated at the following address: 122 Gordon Commercial Drive, Lagrange, GA, 302405740.
What is Pathways Center For Behavioral And Developmental Growth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pathways Center For Behavioral And Developmental Growth's area of specialization is Community/behavioral Health, and the corresponding taxonomy code that categorizes this field of practice is 251S00000X.
On what date did Pathways Center For Behavioral And Developmental Growth receive its 1114089018 assignment from the Centers for Medicare & Medicaid Services?
The Pathways Center For Behavioral And Developmental Growth was assigned its 1114089018 on 2006-12-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Pathways Center For Behavioral And Developmental Growth most recently updated?
The details pertaining to the Pathways Center For Behavioral And Developmental Growth, including its address, specialty, and other relevant information, were last refreshed on 2013-02-26.