Organization
MISSISSIPPI CHILDREN'S HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER CHERNEY (CEO)
(601) 352-7784
Entity
Organization
Contact information
Practice address
1801 N WEST ST, JACKSON, MS 39202-1032
(601) 352-7784
Mailing address
1801 N WEST ST, JACKSON, MS 39202-1032
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013008
—
MS
Enumeration date
05/04/2007
Last updated
08/22/2020
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