OrganizationActive
Child Development and Support Services
NPI 1366338121 · Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, MS
Provider details
- NPI number
- 1366338121
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Webb, Director(601) 506-2292
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
105 Executive Dr Ste B
Madison, MS 39110-8496
Phone: (601) 910-9758
Approximate (ZIP-level) locationGet directions
Mailing address
52 Redbud Ln
Madison, MS 39110-9261
Registry dates
- Enumerated
- 2025-06-17
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.