NPI 1720804354
Supportive Connections Community Services
Practice location
- Address
- 4780 155 N STE 116 202048, Jackson, MS 39211
- Phone
- (619) 722-8148
Authorised official
- Name
- Winfred Alarcon
- Title
- Clinical Director
- Phone
- (619) 722-8148
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1720804354
- Entity type
- Organization
- NPI issued
- 27 Nov 2024
- Record last updated
- 27 Nov 2024
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.