Organization · Type 2 NPI

Savior of Life Therapeutic Residential Group Home

Emotionally Disturbed Childrens' Residential Treatment Facility · Jackson, MS

NPI number 1386916864 Active

Practice location

411 Naples Rd
Jackson, MS 39206-5918

Fax (601) 487-6227

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XCYS-SOL-TGH-02 (MS)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1386916864

Savior of Life Therapeutic Residential Group Home's National Provider Identifier is 1386916864, issued on Jan 31, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Jackson, MS. The record was last updated on Jan 31, 2012.