MISSISSIPPI ADOLESCENT CENTER
NPI 1376840058
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Brookhaven, MS

Q: 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.

Q: 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.

Active since February 16, 2011

760 BROOKMAN DRIVE EXTENSION, BROOKHAVEN, MS 39601(601) 823-5700(601) 823-5769 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

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 lists Edwin C. Legrand, Executive Director, Mississippi Dep, as its authorized official.

NPPES Registry Identity

NPI1376840058

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameMISSISSIPPI ADOLESCENT CENTER

Location Address760 BROOKMAN DRIVE EXTENSIONBrookhaven, MS 39601-2340

Mailing Address760 Brookman Drive ExtensionBrookhaven, MS 39601-2340 · (601) 823-5700 · Fax (601) 823-5769

Phone(601) 823-5700

Fax(601) 823-5769

Organization SubpartNo

Authorized OfficialEdwin C. LegrandExecutive Director, Mississippi Dep · (601) 359-1288

Enumeration DateFebruary 16, 2011

✔ NPI 1376840058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

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.

760 BROOKMAN DRIVE EXTENSION, Brookhaven, MS 39601

Open in Google Maps ↗

Frequently 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.

When was this NPI record last updated?

The NPPES record for Mississippi Adolescent Center was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.