Active NPI
Pathways Family Support Services
- Community/Behavioral Health Agency
- Spartanburg, SC
National Provider Identifier
1558727784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PATHWAYS FAMILY SUPPORT SERVICES
- Doing business as
- Black Boys of Distinction
- Practice address
- 150 Kensington Dr
Spartanburg, SC 29306-3983 - Phone
- (864) 595-0515
- Fax
- (864) 587-6409
- NPI assigned
- Jan 4, 2016
- Organization subpart
- Yes
- Parent organization
- PROMISED LAND COMMUNITY DEVELOPMENT CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tommy Quick
- Title
- Executive Director
- Phone
- (864) 978-7557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
150 Kensington Dr
Spartanburg, SC 29306-3983
Mailing address
PO Box 170066
Spartanburg, SC 29301-0021
Phone (864) 595-0515
Other names 1
- Black Boys of Distinction
National Provider Directory
National Provider Directory- Tax ID family
- Black Boys of Distinction
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Point of Service
- Spartanburg, SC
- NPI 1932576071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451865600000",
"number": "1558727784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 170066",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293010021",
"telephone_number": "864-595-0515",
"fax_number": "864-587-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 KENSINGTON DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063983",
"telephone_number": "864-595-0515",
"fax_number": "864-587-6409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHWAYS FAMILY SUPPORT SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROMISED LAND COMMUNITY DEVELOPMENT CORPORATION",
"enumeration_date": "2016-01-04",
"last_updated": "2016-01-04",
"status": "A",
"authorized_official_last_name": "QUICK",
"authorized_official_first_name": "TOMMY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "864-978-7557",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Boys of Distinction",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.