National Provider Identifier Database

PB MISSISSIPPI HEALTH SERVICES LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

PB MISSISSIPPI HEALTH SERVICES, LLC
3949 HIGHWAY 43 N
BRANDON, MS39047-7240
Phone: 601-829-2500
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for PB MISSISSIPPI HEALTH SERVICES, LLC

NPI Number 1306323720
Legal business name
LBN
PB MISSISSIPPI HEALTH SERVICES, LLC
Authorized official BENJAMIN KLEIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/27/2018
Last updated 07/27/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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