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Organization
REHABILITATION CENTERS, LLC
Active
Organization
REHABILITATION CENTERS, LLC
Active
Other names
Millcreek of Pontotoc
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER HOWARD (VP AND SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
1814 HWY 15 NORTH, PONTOTOC, MS 38863
(662) 488-8878
(662) 488-8767
Mailing address
PO BOX 619, PONTOTOC, MS 38863-0619
(662) 488-8878
(662) 488-8767
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
911
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220588
—
MS
Enumeration date
08/23/2006
Last updated
03/05/2020
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