Reconnect Wellness Bruce LLC
NPI #1396286456 in Bruce, Mississippi
Provider Information
- NPI Number
- 1396286456
- Entity Type
- Organization
- Organization Name
- Reconnect Wellness Bruce LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Mar 9, 2017
- Last Updated
- Mar 9, 2017
Practice Location
- Address
- 131 PUBLIC SQUARE
- City
- Bruce
- State
- Mississippi
- ZIP Code
- 38915
- Phone
- (166) 298-2292
Authorized Official
- Name
- DOUGLAS M WRIGHT JR.
- Title
- MANAGING MEMBER RECONNECT OUTPATIEN
- Phone
- 16626803148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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