NPI 1588587430

Pathway Camp Mitnick LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jasper, AL

Practice location

Address: 4436 Calumet Loop, Jasper, AL 35501-7845
Phone: (205) 600-5265
Mailing address: PO Box 311206, Enterprise, AL 36331-1206

Authorised official

Name: Alesha Booth
Title: Chief Financial Officer
Phone: (334) 464-5824

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1588587430
Entity type: Organization
NPI issued: 30 Jul 2026
Record last updated: 30 Jul 2026

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.