Whalio Doctors

NPI 1114291929

Positive Living, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jackson, MS

Practice location

Address
3811 W Northside Dr, Jackson, MS 39209-2560
Phone
(601) 209-7990
Fax
(601) 366-5949
Mailing address
PO Box 11503, Jackson, MS 39283-1503

Authorised official

Name
Patricia B Magee
Title
Director
Phone
(601) 209-7990

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 322D00000X

Registry record

NPI
1114291929
Entity type
Organization
NPI issued
27 Feb 2012
Record last updated
27 Feb 2012

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.