Pathways Center For Behavioral And Developmental Growth | |
1710 Highway 16 W Griffin GA 30223-7107 | |
(770) 229-3407 | |
(770) 229-3465 |
Full Name | Pathways Center For Behavioral And Developmental Growth |
---|---|
Speciality | Community/behavioral Health |
Location | 1710 Highway 16 W, Griffin, Georgia |
Authorized Official Name and Position | Jade Russell Benefield (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7068454045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pathways Center For Behavioral And Developmental Growth 122 Gordon Commercial Drive Suite C Lagrange GA 30240-5740 Ph: (706) 845-4045 | Pathways Center For Behavioral And Developmental Growth 1710 Highway 16 W Griffin GA 30223-7107 Ph: (770) 229-3407 |
NPI Number | 1427225655 |
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Provider Enumeration Date | 05/16/2008 |
Last Update Date | 03/18/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427225655 | NPI | - | NPPES |
000599332BF | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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