| Mind Repose Llc | |
|
120 W Scenic Dr Pass Christian MS 39571-4420 | |
| (480) 300-2655 | |
| Not Available |
| Full Name | Mind Repose Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 120 W Scenic Dr, Pass Christian, Mississippi |
| Authorized Official Name and Position | Daniel Case (CEO) |
| Authorized Official Contact | 4803002655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Repose Llc 800 3rd Ave Ste 1143 New York NY 10022-7649 Ph: (480) 300-2655 | Mind Repose Llc 120 W Scenic Dr Pass Christian MS 39571-4420 Ph: (480) 300-2655 |
| NPI Number | 1609528272 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609528272 | NPI | - | NPPES |
| 1134710817 | Other | MS | STATE OF MISSISSIPPI |
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