1376840058 MISSISSIPPI ADOLESCENT CENTER
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- MISSISSIPPI ADOLESCENT CENTER
- Enumeration Date
- February 16, 2011
- Last Update
- February 16, 2011
- Authorized Official
- MR. EDWIN C. LEGRAND M.A.
EXECUTIVE DIRECTOR, MISSISSIPPI DEP
Phone: (601) 359-1288
Practice Location
- Address
- 760 BROOKMAN DRIVE EXTENSION
BROOKHAVEN, MS 396012340 - Phone
- (601) 823-5700
- Fax
- (601) 823-5769
Mailing Address
- Address
- 760 BROOKMAN DRIVE EXTENSION
BROOKHAVEN, MS 396012340 - Phone
- (601) 823-5700
- Fax
- (601) 823-5769
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Frequently Asked Questions
What is MISSISSIPPI ADOLESCENT CENTER's NPI number?
MISSISSIPPI ADOLESCENT CENTER's NPI number is 1376840058.
Which doctor has NPI number 1376840058?
The doctor with NPI number 1376840058 is MISSISSIPPI ADOLESCENT CENTER.
What is MISSISSIPPI ADOLESCENT CENTER's practice address?
MISSISSIPPI ADOLESCENT CENTER's practice address is 760 BROOKMAN DRIVE EXTENSION, BROOKHAVEN, MS, 396012340.
Which doctor practices at 760 BROOKMAN DRIVE EXTENSION, BROOKHAVEN, MS, 396012340?
MISSISSIPPI ADOLESCENT CENTER practices at 760 BROOKMAN DRIVE EXTENSION, BROOKHAVEN, MS, 396012340.
What is MISSISSIPPI ADOLESCENT CENTER's phone number?
MISSISSIPPI ADOLESCENT CENTER's phone number is (601) 823-5700.
Who is (601) 823-5700?
(601) 823-5700 is the phone number for MISSISSIPPI ADOLESCENT CENTER.
What is MISSISSIPPI ADOLESCENT CENTER's specialty?
MISSISSIPPI ADOLESCENT CENTER's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is MISSISSIPPI ADOLESCENT CENTER?
MISSISSIPPI ADOLESCENT CENTER is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is MISSISSIPPI ADOLESCENT CENTER a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, MISSISSIPPI ADOLESCENT CENTER is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is MISSISSIPPI ADOLESCENT CENTER still practicing?
Yes, MISSISSIPPI ADOLESCENT CENTER is currently practicing.
Is MISSISSIPPI ADOLESCENT CENTER accepting new patients?
MISSISSIPPI ADOLESCENT CENTER may be accepting new patients. Please call their office at (601) 823-5700 to inquire about availability.
Is NPI 1376840058 still active?
Yes, NPI 1376840058 is currently active.
Where does MISSISSIPPI ADOLESCENT CENTER practice?
MISSISSIPPI ADOLESCENT CENTER practices in BROOKHAVEN, MS.