OrganizationActive
Pathway Camp Mitnick LLC
NPI 1306662903 · Emotionally Disturbed Childrens' Residential Treatment Facility · Jasper, AL
Provider details
- NPI number
- 1306662903
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Alesha Booth, Chief Financial Officer(334) 464-3668
Specialties & taxonomies
Residential Treatment Facilities
Practice location
4436 Calumet Loop
Jasper, AL 35501-7845
Phone: (334) 464-3668
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 311206
Enterprise, AL 36331-1206
Registry dates
- Enumerated
- 2024-11-27
- Last updated
- 2024-11-27
- Certified
- 2024-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.