NPI 1568766905

Saint Joshuas Therapeutic Group Home INC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jackson, MS

Practice location

Address: 3409 N State St, Jackson, MS 39216-3136
Phone: (769) 257-5466
Fax: (866) 224-2940
Mailing address: 4078 Pine Hill Dr, Jackson, MS 39206-5738

Authorised official

Name: Joshua T Smith
Title: President
Phone: (601) 316-4822

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 06071213 (MS)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Mississippi →

Registry record

NPI: 1568766905
Entity type: Organization
NPI issued: 28 Dec 2010
Record last updated: 28 Dec 2010

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.