Pathways Center for Behavioral and Developmental Growth

NPI #1922104033 in Lagrange, Georgia

Provider Information

NPI Number: 1922104033
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: Sep 15, 2006
Last Updated: Jun 21, 2018

Practice Location

Address: 122 D GORDON COMMERCIAL DRIVE
City: Lagrange
State: Georgia
ZIP Code: 30240-5740
Phone: (706) 845-4054

Authorized Official

Name: JADE RUSSELL BENEFIELD, MBA
Title: EXECUTIVE DIRECTOR
Phone: (706) 845-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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