Pathways Center for Behavioral and Developmental Disabilities
Organization Active NPI Developmentally Disabled Services Day Training Agency · Franklin, GA
NPI 1992184154 · NPPES record last updated May 21, 2015
Key facts
- NPI
- 1992184154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL DISABILITIES
- Practice address
- 1206 Franklin Pkwy
Franklin, GA 30217-7508 - Phone
- (706) 675-6399
- Fax
- (706) 675-0254
- NPI assigned
- May 21, 2015
- Organization subpart
- Yes
- Parent organization (as reported)
- PATHWAYS CENTER FOR BEHAVIORAL AND DEVELOPMENTAL DISABILITIES
Authorized official
- Name
- Tracy Hart
- Title
- Billing Manager
- Phone
- (706) 845-4045
Corporate family (same tax ID) 15
National Provider Directory
- Tax ID family
- Pathways Center CSB
- Part of
- Pathways Center CSB
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
1206 Franklin Pkwy
Franklin, GA 30217-7508
Mailing address
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240-5754
Phone (706) 845-4045
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000599332CI | Medicaid | GA | |
| 000599332CJ | Medicaid | GA |
Other providers in Franklin, GA
- Juanita Jackson
- Robert William Krach
- Motion Plus Supplies
- Amy Dawn Nichols
- Oar to Shore Performance LLC
- Pathways Center for Behavioral and Developmental Growth
- Payton Nichole Phillips
- Pruitthealth - Franklin, LLC
- R X Enterprises Inc
- Elizabeth Ann Reed
All providers in Franklin, GA · Developmentally Disabled Services Day Training Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.