ADDICTION CAMPUSES OF MISSISSIPPI, LLC; NPI #1487067237

Contact Information

ADDICTION CAMPUSES OF MISSISSIPPI, LLC

478 MARATHON WAY STE 4
SOUTHAVEN, MS 38671-9523

Phone: 662-510-5980
Fax: 662-510-5965
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation, Substance Use Disorder	261QR0405X
Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for ADDICTION CAMPUSES OF MISSISSIPPI, LLC

NPI #	`1487067237`
LBN Legal business name	ADDICTION CAMPUSES OF MISSISSIPPI, LLC
Authorized official	MARK EDWARDS - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/10/2014
Last updated	02/23/2026 - About 3 months 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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