Organization
RESTORATION COMMUNITY DEVELOPMENT CORP.
Active
Parent organization
RESTORATION COMMUNITY DEVELOPMENT CORP FACILITIES
Other names
Restoration Children Facilities
Organization subpart
Yes
Provider details
NPI number
Legal business name
RESTORATION COMMUNITY DEVELOPMENT CORP FACILITIES
Authorized official
JOANN WILSON (DIRECTOR)
(662) 303-1800
Entity
Organization
Contact information
Practice address
500 CC ROAD, BELZONI, MS 39038
(662) 303-1800
Mailing address
308 CAMELLIA LN, INDIANOLA, MS 38751-2604
(662) 303-1800
(662) 399-5101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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