Organization
ONE COMMUNITY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAMALIS WESLEY (MANAGING MEMBER)
(702) 817-1085
Entity
Organization
Contact information
Practice address
119 MAGNOLIA DR #83, HATTIESBURG, MS 39402-2234
(702) 817-1085
Mailing address
119 MAGNOLIA DR #83, HATTIESBURG, MS 39402-2234
(702) 817-1085
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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