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Contact Information

CHASE HOUSE OF YOUTH RESTORATION
394 W OXFORD ST
PONTOTOC, MS38863-1219
 Phone: 662-586-8081
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
Indicates primary specialty

NPI Profile & details for CHASE HOUSE OF YOUTH RESTORATION

NPI # 1821827155
LBN Legal business name CHASE HOUSE OF YOUTH RESTORATION
Authorized official MASON HESTER - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2024
Last updated 11/14/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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