NPI 1033454772

Center for Family Life Extensions, INC.

Organisation Community/Behavioral Health Agency Jackson, MS

Practice location

Address: 1980 Highway 80 W, Jackson, MS 39204-2303
Phone: (601) 259-5745
Fax: (601) 871-8223

Authorised official

Name: Amanda Johnson
Title: Executive Director
Phone: (016) 259-5745

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence M7862 (MS)

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1033454772
Entity type: Organization
NPI issued: 6 Dec 2012
Record last updated: 22 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.