NPI 1336224179

Mississippi State Hospital at Whitfield

Organisation Mental Illness Community Based Residential Treatment Facility Jackson, MS

Practice location

Address: 350 Capers Avenue, Jackson, MS 39203
Phone: (601) 351-8000
Fax: (601) 351-8301
Mailing address: P.O. Box 1 - Fiscal Services 3550 Highway 468 West, Whitfield, MS 39193-0157

Authorised official

Name: James G Chastain
Title: Director
Phone: (601) 351-8000

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence DCS-MSH (MS)

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

Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

Registry record

NPI: 1336224179
Entity type: Organization
NPI issued: 26 Oct 2006
Record last updated: 14 Mar 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.