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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.

Location: 760 Brookman Drive Extension, Brookhaven, MS, 39601-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Brookhaven
State
Mississippi
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
Brookhaven
State
Mississippi
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
320600000X
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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