| NPI | 1396315792 |
|---|---|
| Doing Business As | SSIPP SELECT BASKETBALL & MENTORING PROGRAM NON PROFIT |
| Doing Business As | SSIPP SELECT BASKETBALL & MENTORING NON PROFIT |
| Entity Type | Organization |
| Authorized Contact | LEONARD C BENNETT Director 662-519-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |