NPI 1316360449

Middle Ms Access Corporation

Organisation Mental Illness Community Based Residential Treatment Facility Jackson, MS

Practice location

Address: 620 W Amite St, Jackson, MS 39203-2618
Phone: (601) 940-0183
Mailing address: PO Box 757, Terry, MS 39170-0757

Authorised official

Name: Kerry Michael Gray
Title: Chief Financial Officer
Phone: (601) 940-0183

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 320800000 (MS)

Other Community Based Residential Treatment Facility, Mental Illness providers in Mississippi →

Registry record

NPI: 1316360449
Entity type: Organization
NPI issued: 24 Jan 2014
Record last updated: 30 Jan 2014

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.