SAINT JOSHUAS THERAPEUTIC GROUP HOME INC NPI 1568766905

NPI Information

SAINT JOSHUAS THERAPEUTIC GROUP HOME INC 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. SAINT JOSHUAS THERAPEUTIC GROUP HOME INC NPI is 1568766905. The provider is registered as an organization entity type.

The provider's business location address is:

3409 N STATE ST
JACKSON, MS
ZIP 39216-136
Phone: (769) 257-5466
Fax: (866) 224-2940

The provider's authorized official is Joshua T Smith .
The authorized official title is President and has the following contact phone number (601) 316-4822.

The enumeration date for this NPI number is 12/28/2010 and was last updated on 12/28/2010.

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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