WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI LLC NPI 1376157032

NPI Information

WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC is a substance abuse rehabilitation facility in Biloxi, MS. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. WOODLAKE ADDICTION RECOVERY OF MISSISSIPPI, LLC NPI is 1376157032. The provider is registered as an organization entity type.

The provider's business location address is:

152 GATEWAY DR
BILOXI, MS
ZIP 39531-409
Phone: (225) 924-1910

The provider's authorized official is Kendall Mccullar .
The authorized official title is Credentialing Specialist and has the following contact phone number (225) 900-8940.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 9/1/2020.

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:

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