Organization · Type 2 NPI

Ssipp Select Basketball & Mentoring Program Non Profit

Community/Behavioral Health Agency · Gulfport, MS

NPI number 1396315792 Active

Practice location

3 Nottingham Cir
Gulfport, MS 39503-4021

Call (662) 519-1608 Map

Other practice locations

  • 3 Nottingham Cir, Gulfport, MS 39503-4021

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed
In Home Supportive Care Agency 253Z00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1396315792

Ssipp Select Basketball & Mentoring Program Non Profit's National Provider Identifier is 1396315792, issued on Jun 28, 2021. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Gulfport, MS. The record was last updated on Jun 28, 2021.