| Mississippi Children's Home Society - Canopy Children's Solutions | |
|
1513 Lakeland Dr Ste 200 Jackson MS 39216-4861 | |
| (769) 777-1000 | |
| Not Available |
| Full Name | Mississippi Children's Home Society - Canopy Children's Solutions |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1513 Lakeland Dr Ste 200, Jackson, Mississippi |
| Authorized Official Name and Position | Michelle Walker (BUSINESS MANAGER) |
| Authorized Official Contact | 7697771046 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Children's Home Society - Canopy Children's Solutions 1465 Lakeland Dr Jackson MS 39216-4719 Ph: () - | Mississippi Children's Home Society - Canopy Children's Solutions 1513 Lakeland Dr Ste 200 Jackson MS 39216-4861 Ph: (769) 777-1000 |
| NPI Number | 1194230789 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 01/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194230789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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