| NPI | 1922870385 |
|---|---|
| Former Legal Business Name | CHANNELED PATHS, INC. |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANN CARSWELL CEO 706-830-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |