Organization · Type 2 NPI

Pathway Camp Mitnick LLC

Emotionally Disturbed Childrens' Residential Treatment Facility · Jasper, AL

NPI number 1306662903 Active

Practice location

4436 Calumet Loop
Jasper, AL 35501-7845

Mailing address

PO Box 311206
Enterprise, AL 36331-1206

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1306662903

Pathway Camp Mitnick LLC's National Provider Identifier is 1306662903, issued on Nov 27, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Jasper, AL. The record was last updated on Nov 27, 2024.