Chase House of Youth Restoration
NPI #1821827155 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1821827155
- Entity Type
- Organization
- Organization Name
- Chase House of Youth Restoration
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 26, 2024
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 394 W OXFORD ST
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-1219
- Phone
- (662) 586-8081
Authorized Official
- Name
- MASON TODD HESTER
- Title
- DIRECTOR
- Phone
- (662) 586-8081
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
| Community/Behavioral Health |
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