NPI 1376157032
Woodlake Addiction Recovery of Mississippi, LLC
Practice location
- Address
- 152 Gateway Dr, Biloxi, MS 39531-4409
- Phone
- (225) 924-1910
- Mailing address
- PO Box 41853, Baton Rouge, LA 70835-1853
Authorised official
- Name
- Kendall McCullar
- Title
- Credentialing Specialist
- Phone
- (225) 900-8940
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1376157032
- Entity type
- Organization
- NPI issued
- 1 Sep 2020
- Record last updated
- 1 Sep 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.