Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISSISSIPPI ADOLESCENT CENTER
Active OrganizationIntellectual Disabilities Residential Treatment Facility · BROOKHAVEN, MS
Registration Details
- NPI Number
- 1376840058
- Provider Type
- Organization
- NPI Issued
- Feb 16, 2011 (15.177210439068 yrs)
- Last Updated
- Feb 16, 2011
Practice Information
- Address
-
760 BROOKMAN DRIVE EXTENSIONBROOKHAVEN, MS, 396012340Browse MS providers · Browse ZIP 39601
- Phone
- 6018235700
- Fax
- 6018235769
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.