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Contact Information

POSITIVE PATHWAYS BEHAVIORAL HEALTH: TREATMENT AND RECOVERY, LLC
345 EDGEWOOD TERRACE DR
JACKSON, MS39206-6217
 Phone: 601-738-5820
 Fax: 601-738-5083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for POSITIVE PATHWAYS BEHAVIORAL HEALTH: TREATMENT AND RECOVERY, LLC

NPI # 1962163287
LBN Legal business name POSITIVE PATHWAYS BEHAVIORAL HEALTH: TREATMENT AND RECOVERY, LLC
Authorized official TIMEKA WRIGHT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2022
Last updated 04/28/2024 - About 2 years ago
Identifiers
MS Medicaid 00424763
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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