1043858053 PEDIATRIC HAVEN
Adolescent and Children Mental Health Clinic/Center
Active
Basic Information
- Organization Name
- PEDIATRIC HAVEN
- Enumeration Date
- December 20, 2019
- Last Update
- January 4, 2024
- Authorized Official
- MRS. JETUWAN M. BROWN RN
MANAGING PARTNER
Phone: (601) 622-2997
Practice Location
- Address
- 102 LEXINGTON DR
MADISON, MS 391106952 - Phone
- (601) 499-6696
- Fax
- (601) 499-6696
Mailing Address
- Address
- 103 HONOURS DR
MADISON, MS 391106513 - Phone
- (601) 622-2997
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medically Fragile Infants and Children Day Care Medically Fragile Infants and Children Day Care | 261QM3000X | Clinic/Center | N/A | N/A | No |
| Pediatric Skilled Nursing Facility Nursing Care, Pediatric | 3140N1450X | Skilled Nursing Facility | N/A | N/A | No |
| Behavior Analyst | 103K00000X | Behavior Analyst | N/A | N/A | No |
| Developmental Disabilities Clinic/Center Developmental Disabilities | 261QD1600X | Clinic/Center | N/A | N/A | No |
| Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | 261QM0801X | Clinic/Center | N/A | N/A | No |
| Child Mental Illness Respite Care Respite Care, Mental Illness, Child | 385HR2055X | Respite Care | N/A | N/A | No |
| Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | Respite Care | N/A | N/A | No |
| Child Physical Disabilities Respite Care Respite Care, Physical Disabilities, Child | 385HR2065X | Respite Care | N/A | N/A | No |
| Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | 261QM0855X | Clinic/Center | N/A | N/A | Primary |
Frequently Asked Questions
What is PEDIATRIC HAVEN's NPI number?
PEDIATRIC HAVEN's NPI number is 1043858053.
Which doctor has NPI number 1043858053?
The doctor with NPI number 1043858053 is PEDIATRIC HAVEN.
What is PEDIATRIC HAVEN's practice address?
PEDIATRIC HAVEN's practice address is 102 LEXINGTON DR, MADISON, MS, 391106952.
Which doctor practices at 102 LEXINGTON DR, MADISON, MS, 391106952?
PEDIATRIC HAVEN practices at 102 LEXINGTON DR, MADISON, MS, 391106952.
What is PEDIATRIC HAVEN's mailing address?
PEDIATRIC HAVEN's mailing address is 103 HONOURS DR, MADISON, MS, 391106513.
What is PEDIATRIC HAVEN's phone number?
PEDIATRIC HAVEN's phone number is (601) 499-6696.
Who is (601) 499-6696?
(601) 499-6696 is the phone number for PEDIATRIC HAVEN.
What is PEDIATRIC HAVEN's specialty?
PEDIATRIC HAVEN's specialty is Adolescent and Children Mental Health Clinic/Center.
What type of doctor is PEDIATRIC HAVEN?
PEDIATRIC HAVEN is a Adolescent and Children Mental Health Clinic/Center.
Is PEDIATRIC HAVEN a Adolescent and Children Mental Health?
Yes, PEDIATRIC HAVEN is a Adolescent and Children Mental Health.
Is PEDIATRIC HAVEN still practicing?
Yes, PEDIATRIC HAVEN is currently practicing.
Is PEDIATRIC HAVEN accepting new patients?
PEDIATRIC HAVEN may be accepting new patients. Please call their office at (601) 499-6696 to inquire about availability.
Is NPI 1043858053 still active?
Yes, NPI 1043858053 is currently active.
Where does PEDIATRIC HAVEN practice?
PEDIATRIC HAVEN practices in MADISON, MS.