SOUTHLAND RECOVERY PLLC NPI 1508439910

NPI Information

SOUTHLAND RECOVERY, PLLC is an addiction medicine preventive medicine in Southaven, MS. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. SOUTHLAND RECOVERY, PLLC NPI is 1508439910. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8830 CENTRE ST STE 5
SOUTHAVEN, MS
ZIP 38671-609
Phone: (662) 510-2523
Fax: (662) 510-2527

The provider's authorized official is Joshua Kaplan .
The authorized official title is Counselor & Program Director and has the following contact phone number (662) 510-2523.

The CLIA number assigned to this NPI record is 25D2195604 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.

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:

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