Mississippi Adolescent Center
NPI 1376840058 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Brookhaven, MS
Mississippi Adolescent Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Brookhaven, MS (NPI 1376840058).
Provider details
- NPI number
- 1376840058
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Edwin Legrand, Executive Director, Mississippi Dep(601) 359-1288
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2011-02-16
Frequently asked questions
- What is Mississippi Adolescent Center's NPI number?
- Mississippi Adolescent Center's National Provider Identifier (NPI) is 1376840058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Adolescent Center?
- Mississippi Adolescent Center is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mississippi Adolescent Center located?
- Mississippi Adolescent Center's practice location on file with NPPES is 760 Brookman Drive Extension, Brookhaven, MS 39601-2340.
- What is Mississippi Adolescent Center's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Adolescent Center is (601) 823-5700.
- Who is the authorized official for Mississippi Adolescent Center?
- The authorized official listed on Mississippi Adolescent Center's NPPES record is Edwin Legrand, Executive Director, Mississippi Dep. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Adolescent Center's NPI active?
- Yes — Mississippi Adolescent Center's NPI (1376840058) is active in the NPPES registry as of the last update on 2011-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.