Organization · Type 2 NPI

MS State Department of Health

Community/Behavioral Health Agency · Jackson, MS

NPI number 1053489260 Active

Practice location

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538

Call (601) 906-0879 Map

Other practice locations

  • 100 Tamberline St, Brandon, MS 39042-3164 · (601) 825-2141

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency 251K00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

9 other providers at this address

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About NPI 1053489260

MS State Department of Health's National Provider Identifier is 1053489260, issued on Dec 4, 2006. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Jackson, MS. The record was last updated on Dec 2, 2022.