Mississippi Children's Home Society
NPI #1710366273 in Jackson, Mississippi
Provider Information
- NPI Number
- 1710366273
- Entity Type
- Organization
- Organization Name
- Mississippi Children's Home Society
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- May 29, 2015
- Last Updated
- May 29, 2015
Practice Location
- Address
- 1465 LAKELAND DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4719
- Phone
- (601) 352-7784
Authorized Official
- Name
- DR. JOHN D DAMON, PH.D.
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (601) 352-7784
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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