Organization
RESTORATION CMHC PARTIAL HOSPITALIZATION PROGRAM, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANN WILSON (DIRECTOR)
(662) 303-1800
Entity
Organization
Contact information
Practice address
994 BANKHEAD DR, BELZONI, MS 39038-3903
(662) 318-5018
(662) 318-5018
Mailing address
308 CAMELLIA LN, INDIANOLA, MS 38751-2604
(662) 318-5018
(662) 318-5018
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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