NPI 1417210154

Langston Jett Enterprises, LLC

Organisation Community/Behavioral Health Agency Meridian, MS

Practice location

Address: 3512 36th Ave, Meridian, MS 39307-3603
Phone: (601) 917-9483

Authorised official

Name: Saron Cornelius Heath
Title: Director/Administrator
Phone: (601) 917-9483

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Mississippi →

Registry record

NPI: 1417210154
Entity type: Organization
NPI issued: 18 Jun 2012
Record last updated: 18 Jun 2012

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.