Active NPI
Pathways to Recovery Associates Inc.
- Adolescent and Children Mental Health Clinic/Center
- Riverdale, GA
National Provider Identifier
1184182115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.