RECOVERDREAM LLC NPI 1457017642

NPI Information

NPI: 1457017642
Provider Name: RECOVERDREAM LLC

Doing Business As: RECOVER/DREAM

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
405 GALLERIA DRIVE, SUITE C
OXFORD, MS
ZIP 38655
Phone: (662) 638-6842
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RECOVERDREAM LLC is a rehabilitation and substance use disorder clinic center in Oxford, MS. RECOVERDREAM LLC NPI is 1457017642. The provider is registered as an organization entity type.
The provider Is Doing Business As Recover/dream.

The provider's business location address is:

405 GALLERIA DRIVE, SUITE C
OXFORD, MS
ZIP 38655-717
Phone: (662) 638-6842
Fax: (662) 638-6842

The provider's authorized official is James M Fuller .
The authorized official title is Chief Marketing Officer and has the following contact phone number (662) 638-6842.

The enumeration date for this NPI number is 11/11/2021 and was last updated on 6/29/2022.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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

NPI Synchronization or Removal

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