Organization · Type 2 NPI

Recoverdream LLC

Substance Use Disorder Rehabilitation Clinic/Center · Oxford, MS

NPI number 1457017642 Active

Practice location

405 Galleria Drive, Suite C
Oxford, MS 38655-4717

Fax (662) 638-6842

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...

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NPI record

NPI: 1457017642
Entity type: Organization (Type 2)
Issued: Nov 11, 2021
Last updated: Jun 29, 2022
Status: Active

Other names

<unavail>
Recover/dream · doing business as
Rebos Today Iop LLC · former legal business name

Authorized official

James M Fuller
Chief Marketing Officer
(662) 638-6842

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About NPI 1457017642

Recoverdream LLC's National Provider Identifier is 1457017642, issued on Nov 11, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Oxford, MS. The record was last updated on Jun 29, 2022.