Pathway Camp Mitnick LLC

NPI #1306662903 in Jasper, Alabama

Provider Information

NPI Number: 1306662903
Entity Type: Organization
Organization Name: Pathway Camp Mitnick LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 27, 2024
Last Updated: Nov 27, 2024

Practice Location

Address: 4436 CALUMET LOOP
City: Jasper
State: Alabama
ZIP Code: 35501-7845
Phone: (334) 464-3668

Authorized Official

Name: ALESHA BOOTH
Title: CHIEF FINANCIAL OFFICER
Phone: (334) 464-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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