| Child Development And Support Services | |
|
105 Executive Dr Ste B Madison MS 39110-8496 | |
| (601) 910-9758 | |
| Not Available |
| Full Name | Child Development And Support Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 105 Executive Dr Ste B, Madison, Mississippi |
| Authorized Official Name and Position | John Webb (DIRECTOR) |
| Authorized Official Contact | 6015062292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Development And Support Services 52 Redbud Ln Madison MS 39110-9261 Ph: (601) 910-9758 | Child Development And Support Services 105 Executive Dr Ste B Madison MS 39110-8496 Ph: (601) 910-9758 |
| NPI Number | 1366338121 |
|---|---|
| Provider Enumeration Date | 06/17/2025 |
| Last Update Date | 06/17/2025 |
| Certification Date | 06/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366338121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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