Organization · Type 2 NPI

Potters House Church

Community/Behavioral Health Agency · Jackson, MS

NPI number 1639506207 Active

Practice location

5913 Floral Dr
Jackson, MS 39206-2413

Call (601) 982-9692 Map

Fax (601) 952-0548

Mailing address

PO Box 11303
Jackson, MS 39283-1303

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	08930021 (MS)

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…

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About NPI 1639506207

Potters House Church's National Provider Identifier is 1639506207, issued on Sep 27, 2013. 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 Sep 27, 2013.