NPI 1003469743
Urban Rehab, INC
Practice location
- Address
- 901 Highway 80 E, Clinton, MS 39056-5244
- Phone
- (601) 927-0188
- Fax
- (601) 292-7998
- Mailing address
- PO Box 2305, Clinton, MS 39060-2305
Authorised official
- Name
- Philip Massey
- Title
- Executive Director
- Phone
- (601) 927-0188
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1003469743
- Entity type
- Organization
- NPI issued
- 22 Jul 2019
- Record last updated
- 3 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.