Middle Ms Access Corporation
NPI #1316360449 in Jackson, Mississippi
Provider Information
- NPI Number
- 1316360449
- Entity Type
- Organization
- Organization Name
- Middle Ms Access Corporation
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Jan 24, 2014
- Last Updated
- Jan 30, 2014
Practice Location
- Address
- 620 W AMITE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39203-2618
- Phone
- (601) 940-0183
Authorized Official
- Name
- DR. KERRY MICHAEL GRAY, PH.D
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (601) 940-0183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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