Pathways Center for Behavioral and Developmental Growth

NPI #1073994182 in Lagrange, Georgia

Provider Information

NPI Number: 1073994182
Entity Type: Organization
Organization Name: Pathways Center for Behavioral and Developmental Growth
Subpart: Yes (part of a larger organization)
Parent Organization: PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL GROWTH
Primary Specialty: Community/Behavioral Health
Enumeration Date: Jun 15, 2015
Last Updated: Jun 15, 2015

Practice Location

Address: 102 CORPORATE PARK DRIVE EAST
City: Lagrange
State: Georgia
ZIP Code: 30241
Phone: (706) 298-7800

Authorized Official

Name: TRACY HART
Title: BILLING MANAGER
Phone: (706) 845-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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