Ssipp Select Basketball & Mentoring Program Non Profit

LBN: Ssipp Select Basketball & Mentoring Program Non Profit
Ssipp Select Basketball & Mentoring Program Non Profit is an health care organization with primary practice located at 3 Nottingham Cir , Gulfport MS 39503-4021. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / In Home Supportive Care. Agencies / Community/Behavioral Health is the primary health care specialty. Ssipp Select Basketball & Mentoring Program Non Profit can be contacted via phone (662) 519-1608, or through Bennett, Leonard C via phone (662) 519-1608.

Contact Information

Primary practice address
3 Nottingham Cir Gulfport MS 39503-4021
Phone: (662) 519-1608
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Leonard C
Phone: (662) 519-1608

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1396315792
LBN Legal business name Ssipp Select Basketball & Mentoring Program Non Profit
DBA Doing business as
Authorized official Bennett, Leonard C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2021
Last updated Jun 28th, 2021 - about 3 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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