Restoration CMHC Partial Hospitalization Program, Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RESTORATION CMHC PARTIAL HOSPITALIZATION PROGRAM, CORP

Practice address

994 Bankhead Dr
Belzoni, MS 39038-3903

Phone

(662) 318-5018

Fax

(662) 318-5018

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joann Wilson

Title

Director

Phone

(662) 303-1800

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1043958226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CAMELLIA LN",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512604",
            "telephone_number": "662-318-5018",
            "fax_number": "662-318-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 BANKHEAD DR",
            "city": "BELZONI",
            "state": "MS",
            "postal_code": "390383903",
            "telephone_number": "662-318-5018",
            "fax_number": "662-318-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION CMHC PARTIAL HOSPITALIZATION PROGRAM, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-303-1800"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Belzoni, MS
• Providers in Belzoni, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.