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Organization
AUTISM CENTER OF NORTH MISSISSIPPI, INC.
Active
Organization
AUTISM CENTER OF NORTH MISSISSIPPI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILEE KENNEDY B.A., RBT (BILLING SPECIALIST)
(662) 840-0974
Entity
Organization
Contact information
Practice address
146 S THOMAS ST, STE. C, TUPELO, MS 38801-5328
(662) 840-0974
Mailing address
146 S THOMAS ST, STE. C, TUPELO, MS 38801-5328
(662) 840-0974
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/04/2012
Last updated
07/15/2016
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