Organization · Type 2 NPI
Mississippi Adolescent Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Brookhaven, MS
Practice location
760 Brookman Drive Extension
Brookhaven, MS 39601-2340
Fax (601) 823-5769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.
About NPI 1376840058
Mississippi Adolescent Center's National Provider Identifier is 1376840058, issued on Feb 16, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Brookhaven, MS. The record was last updated on Feb 16, 2011.