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Organization
PATHWAYS GROUP HOMES
Active
Organization
PATHWAYS GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR BANNER (DIRECTOR)
(980) 888-0251
Entity
Organization
Contact information
Practice address
508 N RANSOM ST, GASTONIA, NC 28052-1953
(980) 888-0251
Mailing address
1349 E GARRISON BLVD STE E, GASTONIA, NC 28054-5142
(980) 888-0251
(980) 888-0308
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
06/04/2018
Last updated
01/10/2023
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