Organization
POTTERS HOUSE CHURCH
Active
Other names
MOLDING MINDS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLARA H GRAY (DIRECTOR)
(601) 896-5026
Entity
Organization
Contact information
Practice address
5913 FLORAL DR, JACKSON, MS 39206-2413
(601) 982-9692
(601) 952-0548
Mailing address
PO BOX 11303, JACKSON, MS 39283-1303
(601) 982-9692
(601) 952-0548
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
08930021
MS
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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