Organization · Type 2 NPI
New Direction Therapeutic Group Home
Professional Counselor · Jackson, MS
NPI number
1609589266
Active
Practice location
362 E Northside Dr
Jackson, MS 39206-5456
Mailing address
5201 Cedar Park Dr
Jackson, MS 39206-4140
Other practice locations
- 5201 Cedar Park Dr, Jackson, MS 39206-4140 · (601) 982-1986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1609589266
New Direction Therapeutic Group Home's National Provider Identifier is 1609589266, issued on Dec 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Dec 28, 2022.