| Addiction Campuses Professional Services Of Mississippi, Llc | |
|
340 Stateline Rd W Southaven MS 38671-1610 | |
| (662) 510-5387 | |
| (662) 342-0782 |
| Full Name | Addiction Campuses Professional Services Of Mississippi, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 340 Stateline Rd W, Southaven, Mississippi |
| Authorized Official Name and Position | Steve Armond (CFO) |
| Authorized Official Contact | 6159214475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Campuses Professional Services Of Mississippi, Llc 205 Reidhurst Ave Nashville TN 37203-1618 Ph: () - | Addiction Campuses Professional Services Of Mississippi, Llc 340 Stateline Rd W Southaven MS 38671-1610 Ph: (662) 510-5387 |
| NPI Number | 1659990075 |
|---|---|
| Provider Enumeration Date | 04/15/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659990075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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