Organization
PATHWAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOMAX MARSH (CFO)
(334) 894-5405
Entity
Organization
Contact information
Practice address
109 PRIVATE ROAD 1202, NEW BROCKTON, AL 36351
(334) 894-5405
(334) 894-5408
Mailing address
PO BOX 311206, ENTERPRISE, AL 36331-1206
(334) 894-5405
(334) 894-5408
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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