Organization
RECONNECT WELLNESS WINONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS M WRIGHT (MANAGING MEMBER RECONNECT OUTPATIEN)
(662) 680-3148
Entity
Organization
Contact information
Practice address
100 N FRONT ST STE A, WINONA, MS 38967-2220
(662) 680-3148
(662) 620-9890
Mailing address
PO BOX 3667, TUPELO, MS 38803-3667
(662) 680-3148
(662) 620-9890
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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