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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