Chase House of Youth Restoration
Organization Active NPI Community/Behavioral Health Agency · Pontotoc, MS
NPI 1821827155 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1821827155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CHASE HOUSE OF YOUTH RESTORATION
- Practice address
- 394 W Oxford St
Pontotoc, MS 38863-1219 - Phone
- (662) 586-8081
- NPI assigned
- Jul 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Mason Todd Hester
- Title
- Director
- Phone
- (662) 586-8081
Practitioners 1
National Provider Directory
Locations
394 W Oxford St
Pontotoc, MS 38863
Phone (662) 586-8081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
394 W Oxford St
Pontotoc, MS 38863-1219
Mailing address
394 W Oxford St
Pontotoc, MS 38863-1219
Phone (662) 586-8081
Other providers in Pontotoc, MS
- Monye Bowdry
- Breanna Renee Bray
- Amber Claire Brown
- Jana Markita Call
- Chase Clinic
- Vernon A Chase
- Carla Chism
- Chris Park DO PC
- Clayton Family Dentistry, PLLC
- Anna Grace Clayton
All providers in Pontotoc, MS · Community/Behavioral Health Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.