Chase House Of Youth Restoration | |
394 W Oxford St Pontotoc MS 38863-1219 | |
(662) 586-8081 | |
Not Available |
Full Name | Chase House Of Youth Restoration |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 394 W Oxford St, Pontotoc, Mississippi |
Authorized Official Name and Position | Mason Todd Hester (DIRECTOR) |
Authorized Official Contact | 6625868081 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chase House Of Youth Restoration 394 W Oxford St Pontotoc MS 38863-1219 Ph: (662) 586-8081 | Chase House Of Youth Restoration 394 W Oxford St Pontotoc MS 38863-1219 Ph: (662) 586-8081 |
NPI Number | 1821827155 |
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Provider Enumeration Date | 07/26/2024 |
Last Update Date | 07/26/2024 |
Certification Date | 07/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821827155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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