Organization · Type 2 NPI
Child Development and Support Services
Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, MS
NPI number
1366338121
Active
Practice location
105 Executive Dr Ste B
Madison, MS 39110-8496
Mailing address
52 Redbud Ln
Madison, MS 39110-9261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
3 other providers at this address
About NPI 1366338121
Child Development and Support Services's National Provider Identifier is 1366338121, issued on Jun 17, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Madison, MS. The record was last updated on Jun 17, 2025.