Center for Family Life Extension, Inc.
NPI #1053682724 in Jackson, Mississippi
Provider Information
- NPI Number
- 1053682724
- Entity Type
- Organization
- Organization Name
- Center for Family Life Extension, Inc.
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Jan 26, 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
- ELMINA JOHNSON
- Title
- OWNER
- Phone
- (601) 259-5745
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Residential Treatment Facility, Emotionally Disturbed Children |
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