Organization
REGION 12 COMMISSION ON MENTAL HEALTH AND RETARDATION
Active
Other names
Clearview Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET MAYS (CHIEF FINACIAL OFFICER)
(601) 544-4641
Entity
Organization
Contact information
Practice address
3 CLEARVIEW CIR, MOSELLE, MS 39459-9520
(601) 544-1499
(601) 584-4053
Mailing address
PO BOX 1030, HATTIESBURG, MS 39403-1030
(601) 544-7499
(601) 584-4053
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
R12-DADA-PR-TR-OP-01
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018212
—
MS
01
—
20463
BC/BS PROVIDER NUMBER
MS
Enumeration date
08/03/2006
Last updated
08/22/2020
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