PATHWAY CAMP MITNICK LLC NPI 1306662903

NPI Information

  • NPI: 1306662903
  • Provider Name: PATHWAY CAMP MITNICK LLC
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Organization
  • Address: 4436 CALUMET LOOP
    JASPER, AL
    ZIP 35501
  • Phone: (334) 464-3668

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NPI Details

PATHWAY CAMP MITNICK LLC is a residential treatment facility emotionally disturbed children in Jasper, AL. The provider is 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. PATHWAY CAMP MITNICK LLC NPI is 1306662903. The provider is registered as an organization entity type.

The provider's business location address is:

4436 CALUMET LOOP
JASPER, AL
ZIP 35501-845
Phone: (334) 464-3668

The provider's authorized official is Alesha Booth .
The authorized official title is Chief Financial Officer and has the following contact phone number (334) 464-3668.

The enumeration date for this NPI number is 11/27/2024 and was last updated on 11/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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