NPI 1952693848

Mid Jackson Family Health Clinic

Organisation Early Intervention Provider Agency Jackson, MS

Practice location

Address: 514 E Woodrow Wilson Ave # C, Jackson, MS 39216-4538
Phone: (601) 981-7198

Authorised official

Name: Gloria Areghan
Title: Phd,cfnp
Phone: (601) 878-5115

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence R831972 (MS)

Other Early Intervention Provider Agency providers in Mississippi →

Registry record

NPI: 1952693848
Entity type: Organization
NPI issued: 10 May 2011
Record last updated: 10 May 2011

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.