NPI 1114080488
Pathways Center for Behavioral & Developmental Growth
Practice location
- Address
- 115 Mitchell Ave APT 7, Lagrange, GA 30240-2257
- Phone
- (706) 845-4148
- Fax
- (706) 845-4149
- Mailing address
- 122 Gordon Commercial Dr # D, Lagrange, GA 30240-5740
Authorised official
- Name
- Joan K Turner
- Title
- Executive Director
- Phone
- (706) 845-4045
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1114080488
- Entity type
- Organization
- NPI issued
- 18 Dec 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.