| Restoration Cmhc Partial Hospitalization Program, Corp | |
|
994 Bankhead Dr Belzoni MS 39038-3903 | |
| (662) 318-5018 | |
| (662) 318-5018 |
| Full Name | Restoration Cmhc Partial Hospitalization Program, Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 994 Bankhead Dr, Belzoni, Mississippi |
| Authorized Official Name and Position | Joann Wilson (DIRECTOR) |
| Authorized Official Contact | 6623031800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Cmhc Partial Hospitalization Program, Corp 308 Camellia Ln Indianola MS 38751-2604 Ph: (662) 318-5018 | Restoration Cmhc Partial Hospitalization Program, Corp 994 Bankhead Dr Belzoni MS 39038-3903 Ph: (662) 318-5018 |
| NPI Number | 1043958226 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 05/26/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043958226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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