Organization
MISSISSIPPI CHILDREN'S HOME SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D DAMON PH.D. (CHIEF EXECUTIVE OFFICER)
(601) 352-7784
Entity
Organization
Contact information
Practice address
1465 LAKELAND DR, JACKSON, MS 39216-4719
(601) 352-7784
(601) 968-0021
Mailing address
1465 LAKELAND DR, JACKSON, MS 39216-4719
(601) 352-7784
(601) 968-0021
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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