Organization · NPI-2

Adcock Behavioral Services

Community/Behavioral Health · Hattiesburg, MS

NPI number1013650886
StatusActive
Last updated in NPPESApr 19, 2022

Details

NPI
1013650886
Entity type
Organization (NPI-2)
Legal business name
Adcock Behavioral Services
Organization subpart
No
Enumeration date
Apr 19, 2022
Certification date
Apr 19, 2022
Last updated
Apr 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

211 Donwood Pl
Hattiesburg, MS 39401-7065

Phone 601-433-7950

Mailing address

211 Donwood Pl
Hattiesburg, MS 39401-7065

Authorized official

Jessica Adcock
Bcba
6014337950

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