Center for Family Life Extensions, Inc.
NPI #1033454772 in Jackson, Mississippi
Provider Information
- NPI Number
- 1033454772
- Entity Type
- Organization
- Organization Name
- Center for Family Life Extensions, Inc.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 6, 2012
- Last Updated
- Mar 22, 2021
Practice Location
- Address
- 1980 HIGHWAY 80 W
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-2303
- Phone
- (601) 259-5745
Authorized Official
- Name
- MISS AMANDA JOHNSON, LMSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (016) 259-5745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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