NPI 1699987115

University of Tennesse

Organisation Substance Abuse Rehabilitation Facility Southaven, MS

Practice location

Address: 1164 Warwick Pl, Southaven, MS 38671-9477
Phone: (662) 563-4616

Authorised official

Name: Romero Keith Midgett
Title: Medical Doctor Ob-Gyn
Phone: (662) 536-1646

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence X (TN)

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1699987115
Entity type: Organization
NPI issued: 4 May 2007
Record last updated: 21 Jul 2022

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.