Center for Family Life Extension, Inc
Center for Family Life Extension, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.
- Licensed in
- MS
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1980 Highway 80 WJackson, MS 39204-2303
Phone: (601) 259-5745
Fax: (601) 871-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence CYS-CFL-TGH-01 (MS) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence CYS-CFL-TGH-01 (MS) |
Record details
| NPI number | 1053682724 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elmina Johnson — Owner · (601) 259-5745 |
| NPI enumerated | January 26, 2012 |
| Last updated in NPPES | March 22, 2021 |
| Certification date | March 22, 2021 |
| Mailing address | 1980 Highway 80 W, Jackson, MS 39204-2303 |
Other providers in Jackson
-
Tate Enterprises, LLC
1105 Laura Ave, Jackson, MS 39209-7008 · (601) 940-8074