| One Community Development Center | |
|
119 Magnolia Dr #83 Hattiesburg MS 39402-2234 | |
| (702) 817-1085 | |
| Not Available |
| Full Name | One Community Development Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 Magnolia Dr #83, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Chamalis Wesley (MANAGING MEMBER) |
| Authorized Official Contact | 7028171085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Community Development Center 119 Magnolia Dr #83 Hattiesburg MS 39402-2234 Ph: (702) 817-1085 | One Community Development Center 119 Magnolia Dr #83 Hattiesburg MS 39402-2234 Ph: (702) 817-1085 |
| NPI Number | 1801624218 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801624218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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