Mississippi Adolescent Center

LBN: Mississippi Adolescent Center
Mississippi Adolescent Center is an health care organization with primary practice located at 760 Brookman Drive Extension , Brookhaven MS 39601-2340. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Mississippi Adolescent Center can be contacted via phone (601) 823-5700, or through Legrand, Edwin C. via phone (601) 359-1288.

Contact Information

Primary practice address
760 Brookman Drive Extension Brookhaven MS 39601-2340
Phone: (601) 823-5700
Fax: (601) 823-5769
Website:
Map and Directions
Authorized official contact:
Name: Legrand, Edwin C. Master of Arts (MA)
Phone: (601) 359-1288

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1376840058
LBN Legal business name Mississippi Adolescent Center
DBA Doing business as
Authorized official Legrand, Edwin C. Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2011
Last updated Feb 16th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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