Pathways Center For Behavioral And Developmental Growth in Lagrange - Community/behavioral Health
Pathways Center For Behavioral And Developmental Growth - NPI 1588797799
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 1588797799. The last update date is 2015-05-04.
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 | 1588797799 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2015-05-04 |
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 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000599332AD | GA | -- | |
| 000599332B | GA | -- | |
| 000599332BE | GA | -- | |
| 000599332AF | GA | -- | |
| 000599332G | GA | -- | |
| 000599332AJ | GA | -- | |
| 000599332L | GA | -- | |
| 000599332T | GA | -- | |
| 000599332AB | GA | -- | |
| 000599332AC | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pathways Center For Behavioral And Developmental Growth?
The Pathways Center For Behavioral And Developmental Growth has been issued the NPI (National Provider Identifier) 1588797799 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Pathways Center For Behavioral And Developmental Growth's facilities are geographically located?
The facilities of Pathways Center For Behavioral And Developmental Growth are physically situated at the following location: 122 Gordon Commercial Drive, Lagrange, GA, 302405740.
What is Pathways Center For Behavioral And Developmental Growth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pathways Center For Behavioral And Developmental Growth is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
When did Pathways Center For Behavioral And Developmental Growth receive its 1588797799 assignment?
The Pathways Center For Behavioral And Developmental Growth was assigned its 1588797799 on 2007-03-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Pathways Center For Behavioral And Developmental Growth's details last updated?
The information pertaining to the Pathways Center For Behavioral And Developmental Growth, including its address, specialty, and other details, was most recently updated on 2015-05-04.
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