National Provider Identifier Database

REGION IV CHEMICAL DEPENDENCY COMPLEX
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

REGION IV CHEMICAL DEPENDENCY COMPLEX
401 NEW HOPE DR
CORINTH, MS38834-7458
Phone: 662-287-7199
Fax: 662-286-8908
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for REGION IV CHEMICAL DEPENDENCY COMPLEX

NPI Number 1982980850
Legal business name
LBN
REGION IV CHEMICAL DEPENDENCY COMPLEX
Authorized official CHARLIE SPEARMAN - (EXECUITIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/24/2011
Last updated 10/24/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • MS Medicaid: 00018204

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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