Urban Rehab, Inc

LBN: Urban Rehab, Inc
Urban Rehab, Inc is an health care organization with primary practice located at 901 Highway 80 E , Clinton MS 39056-5244. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Urban Rehab, Inc can be contacted via phone (601) 927-0188, or through Massey, Philip via phone (601) 927-0188.

Contact Information

Primary practice address
901 Highway 80 E Clinton MS 39056-5244
Phone: (601) 927-0188
Fax: (601) 292-7998
Website:
Map and Directions
Authorized official contact:
Name: Massey, Philip LCSW, CADC II
Phone: (601) 927-0188

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1003469743
LBN Legal business name Urban Rehab, Inc
DBA Doing business as
Authorized official Massey, Philip LCSW, CADC II
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2019
Last updated Aug 3rd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003469743 NPPES
Mississippi MEDICAID 02551264
Mississippi Other URI-AGENCY

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