Organization · Type 2 NPI
Pediatric Haven
Adolescent and Children Mental Health Clinic/Center · Madison, MS
Practice location
102 Lexington Dr
Madison, MS 39110-6952
Fax (601) 499-6696
Mailing address
103 Honours Dr
Madison, MS 39110-6513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | None listed |
| Developmental Disabilities Clinic/Center | 261QD1600X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | None listed |
| Medically Fragile Infants and Children Day Care | 261QM3000X | None listed |
| Pediatric Skilled Nursing Facility | 3140N1450X | None listed |
| Child Mental Illness Respite Care | 385HR2055X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Another provider at this address
About NPI 1043858053
Pediatric Haven's National Provider Identifier is 1043858053, issued on Dec 20, 2019. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Madison, MS. The record was last updated on Jan 4, 2024.