Organization
CENTER FOR FAMILY LIFE EXTENSIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMANDA JOHNSON LMSW (EXECUTIVE DIRECTOR)
(016) 259-5745
Entity
Organization
Contact information
Practice address
1980 HIGHWAY 80 W, JACKSON, MS 39204-2303
(601) 259-5745
(601) 871-8223
Mailing address
1980 HIGHWAY 80 W, JACKSON, MS 39204-2303
(601) 259-5745
(601) 871-8223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M7862
MS
Other
Enumeration date
12/06/2012
Last updated
03/22/2021
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