Organization
URBAN REHAB, INC
Active
Other names
UR, Incorporated
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP B MASSEY LCSW, CADC II (EXECUTIVE DIRECTOR)
(601) 927-0188
Entity
Organization
Contact information
Practice address
901 HIGHWAY 80 E, CLINTON, MS 39056-5244
(601) 927-0188
(601) 292-7998
Mailing address
PO BOX 2305, CLINTON, MS 39060-2305
(601) 272-2202
(866) 925-4488
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AD09-046M
MS
1041C0700X
Clinical Social Worker
Primary
M7217
MS
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06472833
—
MS
Enumeration date
01/28/2014
Last updated
10/27/2025
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