Organization
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH
Active
Other names
Intensive Residential Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN K TURNER RN (EXECUTIVE DIRECTOR)
(706) 845-4045
Entity
Organization
Contact information
Practice address
115 MITCHELL AVE APT 7, LAGRANGE, GA 30240-2257
(706) 845-4148
(706) 845-4149
Mailing address
122 GORDON COMMERCIAL DR # D, LAGRANGE, GA 30240-5740
(706) 845-4045
(706) 845-4312
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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