# MY BROTHER'S KEEPER, INC

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

## Provider details

- **NPI number:** 1609128339
- **Authorized official:** JUNE A GIPSON (CEO)
- **Authorized official phone:** (769) 216-2455

## Contact information

- **Practice address:** 805 E RIVER PL, JACKSON, MS 39202-3486
- **Practice address phone:** (601) 500-7660
- **Practice address fax:** (769) 243-7946
- **Mailing address:** 805 E RIVER PL, JACKSON, MS 39202-3486
- **Mailing address phone:** (601) 500-7660
- **Mailing address fax:** (769) 243-7946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 03/02/2022