OrganizationActive
Mississippi Children'S Home Society
NPI 1710366273 · Emotionally Disturbed Childrens' Residential Treatment Facility · Jackson, MS
Provider details
- NPI number
- 1710366273
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- John Damon, Chief Executive Officer
Practice location
1465 Lakeland Dr
Jackson, MS 39216-4719
Phone: (601) 352-7784
Fax: (601) 968-0021
Mailing address
1465 Lakeland Dr
Jackson, MS 39216-4719
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2015-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.