Organization · NPI-2

One Community Development Center

Community/Behavioral Health · Hattiesburg, MS

NPI number1801624218
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1801624218
Entity type
Organization (NPI-2)
Legal business name
One Community Development Center
Organization subpart
No
Enumeration date
Jul 25, 2024
Certification date
Jul 25, 2024
Last updated
Jul 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

119 Magnolia Dr #83
Hattiesburg, MS 39402-2234

Phone 702-817-1085

Mailing address

119 Magnolia Dr #83
Hattiesburg, MS 39402-2234

Phone 702-817-1085

Authorized official

Chamalis Wesley
Managing Member
7028171085

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