institution
Mississippi Adolescent Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Brookhaven, Mississippi
NPI 1376840058

Mississippi Adolescent Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Brookhaven, MS. Mississippi Adolescent Center practices in Brookhaven, MS. The NPI Number for Mississippi Adolescent Center is 1376840058 and holds a License No. (Mississippi).

The current practice location address for Mississippi Adolescent Center is 760 Brookman Drive Extension, Brookhaven, MS and can be reached out via phone at 601-823-5700 and via fax at 601-823-5769. You can also correspond with Mississippi Adolescent Center through the mailing address at 760 BROOKMAN DRIVE EXTENSION, BROOKHAVEN, MS - 39601-2340 (mailing address contact number: 601-823-5700).

Location: 760 Brookman Drive Extension, Brookhaven, MS, 39601-2340
institution
Provider Profile Details
NPI Number
1376840058
Provider Name
Mississippi Adolescent Center
Credential
Provider Entity Type
Organization
Address
760 Brookman Drive Extension, Brookhaven, MS, 39601-2340
Phone Number
601-823-5700
Fax Number
601-823-5769
Provider Enumeration Date
02/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
760 Brookman Drive Extension
City
State
Zip
39601-2340
Phone Number
601-823-5700
Fax Number
601-823-5769
person
Provider Business Mailing Address Details
Address
760 Brookman Drive Extension
City
State
Zip
39601-2340
Phone Number
601-823-5700
Fax Number
601-823-5769
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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