NPI 1396315792

Ssipp Select Basketball & Mentoring Program Non Profit

Organisation Community/Behavioral Health Agency Gulfport, MS

Practice location

Address: 3 Nottingham Cir, Gulfport, MS 39503-4021
Phone: (662) 519-1608

Authorised official

Name: Leonard C Bennett
Title: Director
Phone: (662) 519-1608

Registered specialties (5)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Mississippi →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Mississippi →

In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

Other In Home Supportive Care providers in Mississippi →

Registry record

NPI: 1396315792
Entity type: Organization
NPI issued: 28 Jun 2021
Record last updated: 28 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.