| Kids Hub | |
|
15 Millbranch Rd Hattiesburg MS 39402-1413 | |
| (601) 909-6294 | |
| Not Available |
| Full Name | Kids Hub |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 15 Millbranch Rd, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Didi Ellis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6019096294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Hub 15 Millbranch Rd Hattiesburg MS 39402-1413 Ph: (601) 909-6229 | Kids Hub 15 Millbranch Rd Hattiesburg MS 39402-1413 Ph: (601) 909-6294 |
| NPI Number | 1710613294 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710613294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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