Provider Demographics
NPI:1508913963
Name:PATHWAYS TRANSITION PROGRAMS, INC
Entity Type:Organization
Organization Name:PATHWAYS TRANSITION PROGRAMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNAINA
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-378-2300
Mailing Address - Street 1:120 E TRINITY PL
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-3302
Mailing Address - Country:US
Mailing Address - Phone:404-378-2300
Mailing Address - Fax:404-378-2394
Practice Address - Street 1:120 E TRINITY PL
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3302
Practice Address - Country:US
Practice Address - Phone:404-378-2300
Practice Address - Fax:404-378-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty