SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME NPI 1386916864

NPI Information

SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME is a residential treatment facility emotionally disturbed children in Jackson, MS. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SAVIOR OF LIFE THERAPEUTIC RESIDENTIAL GROUP HOME NPI is 1386916864. The provider is registered as an organization entity type.

The provider's business location address is:

411 NAPLES RD
JACKSON, MS
ZIP 39206-918
Phone: (601) 398-2974
Fax: (601) 487-6227

The provider's authorized official is Angela Lambert Wright .
The authorized official title is Social Worker/founder and has the following contact phone number (601) 454-6419.

The enumeration date for this NPI number is 1/31/2012 and was last updated on 1/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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