NPI 1710366273

Mississippi Children's Home Society

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jackson, MS

Practice location

Address: 1465 Lakeland Dr, Jackson, MS 39216-4719
Phone: (601) 352-7784
Fax: (601) 968-0021

Authorised official

Name: John D Damon
Title: Chief Executive Officer
Phone: (601) 352-7784

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1710366273
Entity type: Organization
NPI issued: 29 May 2015
Record last updated: 29 May 2015

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.