Saint Joshuas Therapeutic Group Home INC
NPI #1568766905 in Jackson, Mississippi
Provider Information
- NPI Number
- 1568766905
- Entity Type
- Organization
- Organization Name
- Saint Joshuas Therapeutic Group Home INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Dec 28, 2010
- Last Updated
- Dec 28, 2010
Practice Location
- Address
- 3409 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-3136
- Phone
- (769) 257-5466
Authorized Official
- Name
- MR. JOSHUA T SMITH
- Title
- PRESIDENT
- Phone
- (601) 316-4822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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