Woodlake Addiction Recovery of Mississippi, LLC
NPI #1376157032 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1376157032
- Entity Type
- Organization
- Organization Name
- Woodlake Addiction Recovery of Mississippi, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WOODLAKE MANAGEMENT, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
- Address
- 152 GATEWAY DR
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39531-4409
- Phone
- (225) 924-1910
Authorized Official
- Name
- KENDALL MCCULLAR
- Title
- CREDENTIALING SPECIALIST
- Phone
- (225) 900-8940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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