| Stonewater Addiction Recovery Center | |
|
38 County Road 362 Oxford MS 38655-8514 | |
| (662) 259-8474 | |
| Not Available |
| Full Name | Stonewater Addiction Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 38 County Road 362, Oxford, Mississippi |
| Authorized Official Name and Position | Bryan Fikes (CEO) |
| Authorized Official Contact | 6623721691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonewater Addiction Recovery Center 38 County Road 362 Oxford MS 38655-8514 Ph: () - | Stonewater Addiction Recovery Center 38 County Road 362 Oxford MS 38655-8514 Ph: (662) 259-8474 |
| NPI Number | 1518492362 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518492362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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