ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC NPI 1821248279

NPI Information

NPI: 1821248279
Provider Name: ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 25D2085264

Address:
5360 I 55 N STE 160
JACKSON, MS
ZIP 39211
Phone: (601) 362-3131
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ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC is a methadone clinic center in Jackson, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. ALTERNATIVES FOR LIFE TREATMENT & RECOVERY OF JACKSON LLC NPI is 1821248279. The provider is registered as an organization entity type.

The provider's business location address is:

5360 I 55 N STE 160
JACKSON, MS
ZIP 39211-055
Phone: (601) 362-3131
Fax: (601) 362-3339

The provider's authorized official is Rueben S Bienvenu .
The authorized official title is Program Sponsor and has the following contact phone number (337) 298-1257.

The CLIA number assigned to this NPI record is 25D2085264 - other - drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 6/17/2021.

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
1	261Q00000X	Clinic/Center		MS-10003-M	MISSISSIPPI	No
2	261QM2800X	Clinic/Center	Methadone			Yes
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

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: 5/5/2024

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