Organization
KIDS HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIDI ELLIS (EXECUTIVE DIRECTOR)
(601) 909-6294
Entity
Organization
Contact information
Practice address
15 MILLBRANCH RD, HATTIESBURG, MS 39402-1413
(601) 909-6294
Mailing address
15 MILLBRANCH RD, HATTIESBURG, MS 39402-1413
(601) 909-6229
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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