Pathways Center For Behavioral And Developmental Growth, NPI 1588797799
Community/Behavioral Health Agency in Lagrange, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1588797799
NPI Entity Type Organization
Provider Name Pathways Center For Behavioral And Developmental Growth
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 122 Gordon Commercial Drive, Suite C, Lagrange, GA, US
Provider Mailing Address 122 Gordon Commercial Drive, Suite C, Lagrange, GA, US, 302405740
Is Sole Proprietor? No
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Organization Official

Official Name MR. MBA Jade Russell Benefield
Official Position EXECUTIVE DIRECTOR
Phone 706-845-4045

Primary Taxonomy

Taxonomy Code

251S00000X

Taxonomy Name Community/Behavioral Health Agency
Classification

Community/Behavioral Health

Group

Agencies

Description 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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

Pathways Center For Behavioral And Developmental Growth
122 Gordon Commercial Drive
Suite C

Lagrange, GA, US

Phone: 706-845-4045
Fax: 706-845-4367

Mailing Address

Pathways Center For Behavioral And Developmental Growth
122 Gordon Commercial Drive
Suite C
Lagrange, GA, US
ZIP 302405740
Phone: 706-845-4045
Fax: 706-845-4367

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000599332AD GA MEDICAID 05
000599332B GA MEDICAID 05
000599332BE GA MEDICAID 05
000599332AF GA MEDICAID 05
000599332G GA MEDICAID 05
000599332AJ GA MEDICAID 05
000599332L GA MEDICAID 05
000599332T GA MEDICAID 05
000599332AB GA MEDICAID 05
000599332AC GA MEDICAID 05
000599332AA GA MEDICAID 05
000599332BF GA MEDICAID 05
000599332E GA MEDICAID 05
000599332N GA MEDICAID 05
000599332Y GA MEDICAID 05

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