Butterfly Affect
NPI #1831795095 in Jackson, Mississippi
Provider Information
- NPI Number
- 1831795095
- Entity Type
- Organization
- Organization Name
- Butterfly Affect
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Dec 11, 2020
- Last Updated
- Dec 11, 2020
Practice Location
- Address
- 4915 I 55 N FRONTAGE RD STE C 305
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39205
- Phone
- (769) 226-6232
Authorized Official
- Name
- JENNIFER GREEN
- Title
- MEMBER
- Phone
- (769) 226-6232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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