National Provider Identifier Database

OXFORD OUTPATIENT CENTER 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

OXFORD OUTPATIENT CENTER, LLC
1150 CHURCH RD W
SOUTHAVEN, MS38671-7144
Phone: 662-205-0455
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for OXFORD OUTPATIENT CENTER, LLC

NPI Number 1881438992
Legal business name
LBN
OXFORD OUTPATIENT CENTER, LLC
Authorized official KEISHA WYNN - (DIRECTOR OF OUTPATIENT OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 06/24/2024
Last updated 06/24/2024 - More than a year 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.

Reviews for OXFORD OUTPATIENT CENTER, LLC

There are currently no reviews for OXFORD OUTPATIENT CENTER, LLC


NPIdb - Home
v2.201