Organization · Type 2 NPI

Pathways Center for Behavioral & Developmental Growth

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Carrollton, GA

NPI number 1306908330 Active

Practice location

403 Northlake Dr
Carrollton, GA 30117-1883

Call (770) 836-0472 Map

Fax (770) 830-2266

Mailing address

122 Gordon Commercial Dr # D
Lagrange, GA 30240-5740

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary	320900000X	None listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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NPI record

NPI: 1306908330
Entity type: Organization (Type 2)
Issued: Dec 15, 2006
Last updated: Apr 20, 2008
Status: Active
Subpart: Yes of Pathways Center for Behavioral & Developmental Growth

Other names

<unavail>
Carroll Igr · other name

Authorized official

Mrs. Joan K Turner, RN
Executive Director
(706) 845-4045

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1306908330

Pathways Center for Behavioral & Developmental Growth's National Provider Identifier is 1306908330, issued on Dec 15, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Carrollton, GA. The record was last updated on Apr 20, 2008.