# JAX PATHWAYS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689592156
- **Authorized official:** MS. DECARDRA JACKSON (CEO)
- **Authorized official phone:** (804) 399-0677

## Contact information

- **Practice address:** 1413 IDLEWOOD AVE, RICHMOND, VA 23220-6003
- **Practice address phone:** (804) 399-0677
- **Mailing address:** 1413 IDLEWOOD AVE, RICHMOND, VA 23220-6003
- **Mailing address phone:** (804) 399-0677

## Taxonomy

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

## Other

- **Enumeration date:** 07/09/2026
- **Last updated:** 07/09/2026
