Organization
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Active
Parent organization
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Authorized official
JADE RUSSELL BENEFIELD MBA (EXECUTIVE DIRECTOR)
(706) 845-4045
Entity
Organization
Contact information
Practice address
1710 HIGHWAY 16 W, GRIFFIN, GA 30223-7107
(770) 229-3407
(770) 229-3465
Mailing address
122 GORDON COMMERCIAL DRIVE, SUITE C, LAGRANGE, GA 30240-5740
(706) 845-4045
(706) 845-4367
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000599332BF
—
GA
Enumeration date
05/16/2008
Last updated
03/18/2019
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