Organization · Type 2 NPI
Maids
Substance Use Disorder Rehabilitation Clinic/Center · Olive Branch, MS
NPI number
1093387458
Active
Practice location
6831 Crumpler Blvd Ste 100
Olive Branch, MS 38654-2055
Mailing address
3109 John Michael Dr
Southaven, MS 38672-8597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1093387458
Maids's National Provider Identifier is 1093387458, issued on Jul 14, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Olive Branch, MS. The record was last updated on Jul 14, 2021.