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Contact Information

SOUTHLAND RECOVERY, PLLC
8830 CENTRE ST STE 5
SOUTHAVEN, MS38671-2609
 Phone: 662-510-2523
 Fax: 662-510-2527
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for SOUTHLAND RECOVERY, PLLC

NPI Number 1508439910
LBN Legal business name SOUTHLAND RECOVERY, PLLC
Authorized official JOSHUA KAPLAN - (COUNSELOR & PROGRAM DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2021
Last updated 07/22/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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