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
TRACY HART (BILLING MANAGER)
(706) 845-4045
Entity
Organization
Contact information
Practice address
999 W MAIN ST APT B, MANCHESTER, GA 31816-1587
(706) 845-4045
(706) 845-4341
Mailing address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4341
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000599332CO
—
GA
Enumeration date
09/16/2015
Last updated
09/16/2015
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