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Organization
SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME
Active
Organization
SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA LAMBERT WRIGHT BSW (SOCIAL WORKER/FOUNDER)
(601) 454-6419
Entity
Organization
Contact information
Practice address
411 NAPLES RD, JACKSON, MS 39206-5918
(601) 398-2974
(601) 487-6227
Mailing address
411 NAPLES RD, JACKSON, MS 39206-5918
(601) 398-2974
(601) 487-6227
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CYS-SOL-TGH-02
MS
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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