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
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
07/15/2016
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