PATHWAY CAMP MITNICK LLC
NPI 1306662903
Residential Treatment Facility, Emotionally Disturbed Children in Jasper, AL
- Organization
- Residential Treatment Facility, Emotiona...
About PATHWAY CAMP MITNICK LLC
This page provides the complete NPI Profile along with additional information for Pathway Camp Mitnick Llc, a provider established in Jasper, Alabama operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1306662903 assigned on November 2024. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Alesha Booth (Chief Financial Officer)
- NPI
- 1306662903 Verify this NPI
- Provider Name
- PATHWAY CAMP MITNICK LLC
- Entity Type
- Organization
- Location Address
- 4436 CALUMET LOOP JASPER, AL 35501
- Location Phone
- (334) 464-3668
- Mailing Address
- PO BOX 311206 ENTERPRISE, AL 36331
- Mailing Phone
- (334) 464-3668
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-27-2024
- Last Update Date
- 11-27-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306662903, enumerated as an "organization" on November 27, 2024.
The provider is located at 4436 CALUMET LOOP JASPER, AL 35501 and the phone number is (334) 464-3668.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
