NPI 1912436981

Reconnect Wellness Winona LLC

Organisation Preferred Provider Organization Winona, MS

Practice location

Address: 100 N Front St STE a, Winona, MS 38967-2220
Phone: (662) 680-3148
Fax: (662) 620-9890
Mailing address: PO Box 3667, Tupelo, MS 38803-3667

Authorised official

Name: Douglas M Wright
Title: Managing Member Reconnect Outpatien
Phone: (662) 680-3148

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Mississippi →

Registry record

NPI: 1912436981
Entity type: Organization
NPI issued: 5 Jun 2017
Record last updated: 5 Jun 2017

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.