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Organization

PATHWAY CAMP MITNICK LLC

Active
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Organization

PATHWAY CAMP MITNICK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALESHA BOOTH (CHIEF FINANCIAL OFFICER)
(334) 464-5824
Entity
Organization

Contact information

Practice address
4436 CALUMET LOOP, JASPER, AL 35501-7845
(205) 600-5265
Mailing address
PO BOX 311206, ENTERPRISE, AL 36331-1206
(205) 600-5265

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL

Other

Enumeration date
07/30/2026
Last updated
07/30/2026
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