Mississippi Adolescent Center

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1376840058

Mississippi Adolescent Center is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brookhaven, Mississippi. Registered with an NPI since 2011.

In the registry since: 2011

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Practice location Address checks out

760 Brookman Drive Ext
Brookhaven, MS 39601-2340
Phone: (601) 823-5700
Fax: (601) 823-5769

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X

Record details

NPI number	1376840058
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Edwin Legrand — Executive Director, Mississippi Dep · (601) 359-1288
NPI enumerated	February 16, 2011
Last updated in NPPES	February 16, 2011
Mailing address	760 Brookman Drive Extension, Brookhaven, MS 39601-2340