Reconnect Wellness Winona LLC
NPI #1912436981 in Winona, Mississippi
Provider Information
- NPI Number
- 1912436981
- Entity Type
- Organization
- Organization Name
- Reconnect Wellness Winona LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 5, 2017
- Last Updated
- Jun 5, 2017
Practice Location
- Address
- 100 N FRONT ST STE A
- City
- Winona
- State
- Mississippi
- ZIP Code
- 38967-2220
- Phone
- (662) 680-3148
Authorized Official
- Name
- DOUGLAS M WRIGHT
- Title
- MANAGING MEMBER RECONNECT OUTPATIEN
- Phone
- (662) 680-3148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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