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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