institution
Center For Family Life Extension, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Jackson, Mississippi
NPI 1053682724

Center For Family Life Extension, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Jackson, MS. Center For Family Life Extension, Inc. practices in Jackson, MS. The NPI Number for Center For Family Life Extension, Inc. is 1053682724 and holds a License No. CYS-CFL-TGH-01 (Mississippi).

The current practice location address for Center For Family Life Extension, Inc. is 1980 Highway 80 W, Jackson, MS and can be reached out via phone at 601-259-5745 and via fax at 601-871-8223. You can also correspond with Center For Family Life Extension, Inc. through the mailing address at 1980 HIGHWAY 80 W, JACKSON, MS - 39204-2303 (mailing address contact number: 601-259-5745).

Location: 1980 Highway 80 W, Jackson, MS, 39204-2303
institution
Provider Profile Details
NPI Number
1053682724
Provider Name
Center For Family Life Extension, Inc.
Credential
Provider Entity Type
Organization
Address
1980 Highway 80 W, Jackson, MS, 39204-2303
Phone Number
601-259-5745
Fax Number
601-871-8223
Provider Enumeration Date
01/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1980 Highway 80 W
City
State
Zip
39204-2303
Phone Number
601-259-5745
Fax Number
601-871-8223
person
Provider Business Mailing Address Details
Address
1980 Highway 80 W
City
State
Zip
39204-2303
Phone Number
601-259-5745
Fax Number
601-871-8223
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
CYS-CFL-TGH-01 (Mississippi)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
CYS-CFL-TGH-01 (Mississippi)
Definition
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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