| Catholic Charities, Inc. | |
|
200 N Congress St Suite 100 Jackson MS 39201-1902 | |
| (601) 326-3701 | |
| (601) 960-8493 |
| Full Name | Catholic Charities, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 N Congress St, Jackson, Mississippi |
| Authorized Official Name and Position | Linda Raff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6013263728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Charities, Inc. 200 N Congress St Suite 100 Jackson MS 39201-1902 Ph: (601) 326-3701 | Catholic Charities, Inc. 200 N Congress St Suite 100 Jackson MS 39201-1902 Ph: (601) 326-3701 |
| NPI Number | 1669513503 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669513503 | NPI | - | NPPES |
| 00016925 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CYS23CRT01 (Mississippi) | Primary |
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