MISSISSIPPI ADOLESCENT CENTER
NPI 1376840058
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brookhaven, MS
About Mississippi Adolescent Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISSISSIPPI ADOLESCENT CENTER (NPI 1376840058) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Brookhaven, Mississippi and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Edwin C. Legrand, Executive Director, Mississippi Dep, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D1043490
Mississippi Adolescent Center · Brookhaven, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mississippi Adolescent Center's NPI number?
The NPI number for Mississippi Adolescent Center is 1376840058. It was assigned to this organization in the NPPES registry on February 16, 2011.
Where is Mississippi Adolescent Center located?
Mississippi Adolescent Center is located at 760 Brookman Drive Extension, Brookhaven, MS 39601. The listed phone number is (601) 823-5700.
What is Mississippi Adolescent Center's specialty?
The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
Does Mississippi Adolescent Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D1043490) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Mississippi Adolescent Center was last updated on February 16, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.
