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MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC NPI 1154868248


NPI Information

NPI: 1154868248
Provider Name: MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 25D2126445

Address:
13251 REECE BERGERON RD
BILOXI, MS
ZIP 39532
Phone: (561) 324-2140
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MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC is a rehabilitation and substance use disorder clinic center in Biloxi, MS. MISSISSIPPI DRUG AND ALCOHOL TREATMENT CENTER LLC NPI is 1154868248. The provider is registered as an organization entity type.

The provider's business location address is:

13251 REECE BERGERON RD
BILOXI, MS
ZIP 39532-557
Phone: (561) 324-2140

The provider's authorized official is Sandi Barnes .
The authorized official title is Ceo and has the following contact phone number (561) 324-2140.

The CLIA number assigned to this NPI record is 25D2126445 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 1/26/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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