OrganizationActive
Savior of Life Therapeutic Residential Group Home
NPI 1386916864 · Emotionally Disturbed Childrens' Residential Treatment Facility · Jackson, MS
Provider details
- NPI number
- 1386916864
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Angela Wright, Social Worker/Founder(601) 454-6419
- License
- CYS-SOL-TGH-02 (MS)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense CYS-SOL-TGH-02 (MS)
Residential Treatment Facilities
Practice location
411 Naples Rd
Jackson, MS 39206-5918
Phone: (601) 398-2974
Fax: (601) 487-6227
Approximate (ZIP-level) locationGet directions
Mailing address
411 Naples Rd
Jackson, MS 39206-5918
Registry dates
- Enumerated
- 2012-01-31
- Last updated
- 2012-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.