MAIDS NPI 1093387458

NPI Information

  • NPI: 1093387458
  • Provider Name: MAIDS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 6831 CRUMPLER BLVD STE 100
    OLIVE BRANCH, MS
    ZIP 38654
  • Phone: (901) 487-1912

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NPI Details

MAIDS is a rehabilitation and substance use disorder clinic center in Olive Branch, MS. MAIDS NPI is 1093387458. The provider is registered as an organization entity type.

The provider's business location address is:

6831 CRUMPLER BLVD STE 100
OLIVE BRANCH, MS
ZIP 38654-055
Phone: (901) 487-1912

The provider's authorized official is Calina L Patterson .
The authorized official title is Biller and has the following contact phone number (662) 347-2052.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 7/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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