NPIMap

Organization Active NPI

Pathways Center for Behavioral & Developmental Growth

  • Mental Illness Community Based Residential Treatment Facility
  • Lagrange, GA
National Provider Identifier
1114080488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH
Practice address
115 Mitchell Ave Apt 7
Lagrange, GA 30240-2257
Phone
(706) 845-4148
Fax
(706) 845-4149
NPI assigned
Dec 18, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Joan K Turner, RN
Title
Executive Director
Phone
(706) 845-4045

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Pathways Center CSB (16 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

NPPES NPI Registry

Primary practice location

115 Mitchell Ave Apt 7
Lagrange, GA 30240-2257

Mailing address

122 Gordon Commercial Dr # D
Lagrange, GA 30240-5740
Phone (706) 845-4045

Other names 1

NPPES NPI Registry
  • Intensive Residential Program Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114080488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 GORDON COMMERCIAL DR # D",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405740",
            "telephone_number": "706-845-4045",
            "fax_number": "706-845-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MITCHELL AVE APT 7",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402257",
            "telephone_number": "706-845-4148",
            "fax_number": "706-845-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS CENTER FOR BEHAVIORAL & DEVELOPMENTAL GROWTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-845-4045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intensive Residential Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.