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Organization
PATHWAYS TOWARD SUCCESS
Active
Organization
PATHWAYS TOWARD SUCCESS
Active
Other names
Pathways Toward Success
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DETRICK L HARMON (OWNER)
(901) 289-7184
Entity
Organization
Contact information
Practice address
2506 MOUNT MORIAH RD STE B400, MEMPHIS, TN 38115-1511
(901) 289-7184
Mailing address
PO BOX 54113, MILLINGTON, TN 38054-0113
(901) 289-7184
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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