Organization Active NPI

Pathways to Recovery Associates Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Riverdale, GA
National Provider Identifier
1184182115
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PATHWAYS TO RECOVERY ASSOCIATES INC.
Practice address
7210 Church St
Riverdale, GA 30274-2918
Phone
(404) 839-8906
Fax
(404) 344-3181
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glenda Grant
Title
Ceo
Phone
(404) 839-8906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

7210 Church St
Riverdale, GA 30274-2918

Mailing address

PO Box 961814
Riverdale, GA 30296-6912
Phone (404) 839-8906

National Provider Directory

National Provider Directory

Locations

7210 Church St
Riverdale, GA 30274
Phone (404) 839-8906

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1184182115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961814",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966912",
            "telephone_number": "404-839-8906",
            "fax_number": "404-344-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 CHURCH ST",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742918",
            "telephone_number": "404-839-8906",
            "fax_number": "404-344-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS TO RECOVERY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-839-8906"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.