Organization
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH
Active
Parent organization
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH
Other names
Carroll IGR
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH
Authorized official
MRS. JOAN K TURNER RN (EXECUTIVE DIRECTOR)
(706) 845-4045
Entity
Organization
Contact information
Practice address
403 NORTHLAKE DR, CARROLLTON, GA 30117-1883
(770) 836-0472
(770) 830-2266
Mailing address
122 GORDON COMMERCIAL DR # D, LAGRANGE, GA 30240-5740
(706) 845-4045
(706) 845-4312
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
04/20/2008
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