Center For Family Life Extension, Inc.

LBN: Center For Family Life Extension, Inc.
Center For Family Life Extension, Inc. is an health care organization with primary practice located at 1980 Highway 80 W , Jackson MS 39204-2303. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children is the primary health care specialty. Center For Family Life Extension, Inc. can be contacted via phone (601) 259-5745, or through Johnson, Elmina via phone (601) 259-5745.

Contact Information

Primary practice address
1980 Highway 80 W Jackson MS 39204-2303
Phone: (601) 259-5745
Fax: (601) 871-8223
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Elmina
Phone: (601) 259-5745

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X CYS-CFL-TGH-01 Mississippi
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X CYS-CFL-TGH-01 Mississippi

Profile Details

NPI number 1053682724
LBN Legal business name Center For Family Life Extension, Inc.
DBA Doing business as
Authorized official Johnson, Elmina
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2012
Last updated Mar 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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