Urban Rehab, Inc

NPI 1417370313 - Counselor - 101YA0400X

NPI Details
NPI 1417370313
Enumeration Date 01/28/2014
Last Updated 01/28/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PHILIP B PHILIP
Position EXECUTIVE DIRECTOR
Phone (601) 272-2202
Fax (866) 925-4488
Practice Location
4680 MCWILLIE DR
JACKSON MS, 39206-5621, US
Phone (601) 272-2202
Fax (866) 925-4488
Business Location
PO BOX 2305
CLINTON MS, 39060-2305, US
Phone (601) 272-2202
Fax (866) 925-4488
Toxanomy
Taxonomy Code 101YA0400X
License State Mississippi
License Number AD09-046M
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According to our database, Urban Rehab, Inc NPI is 1417370313, taxonomy code is 101YA0400X and license number is AD09-046M, license state is located at Mississippi. Urban Rehab, Inc physically located at 4680 Mcwillie Dr, Jackson MS, 39206-5621. NPI Number 1033115704 has the healthcare provider type.

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1417370313 NPI number is provided on an as is basis without warranty of any kind. 1417370313 is maintained by the National Plan & Provider Enumeration System. The contents of Urban Rehab, Inc are for informational purposes only.