# MISSISSIPPI CHILDREN'S HOME SOCIETY - CANOPY CHILDREN'S SOLUTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194230789
- **Authorized official:** MICHELLE WALKER (BUSINESS MANAGER)
- **Authorized official phone:** (769) 777-1046

## Contact information

- **Practice address:** 1513 LAKELAND DR STE 200, JACKSON, MS 39216-4861
- **Practice address phone:** (769) 777-1000
- **Mailing address:** 1465 LAKELAND DR, JACKSON, MS 39216-4719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2017
- **Last updated:** 01/11/2019