Organization
THE PACT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIUS MILES (CEO)
(706) 464-8498
Entity
Organization
Contact information
Practice address
306 13TH ST, COLUMBUS, GA 31901-2138
(706) 464-8498
(762) 222-1532
Mailing address
306 13TH ST, COLUMBUS, GA 31901-2138
(706) 464-8498
(762) 222-1532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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