Mississippi Comprehensive Treatment Centers, LLC
NPI #1467998344 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1467998344
- Entity Type
- Organization
- Organization Name
- Mississippi Comprehensive Treatment Centers, LLC
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Jan 16, 2017
- Last Updated
- Jan 16, 2017
Practice Location
- Address
- 14070 DEDEAUX RD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39503-4502
- Phone
- (877) 533-5686
Authorized Official
- Name
- JOHN PELOQUIN, PHD
- Title
- PRESIDENT, CTC DIVISION
- Phone
- (855) 259-2288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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