NPI 1760610109

Frontline Recovery, LLC

Organisation Substance Abuse Rehabilitation Facility Summit, MS

Practice location

Address: 1038 River Ridge Rd, Summit, MS 39666-9715
Phone: (601) 276-9556
Fax: (601) 276-9578
Mailing address: PO Box 1176, Summit, MS 39666-1176

Authorised official

Name: Jeff Rayborn
Title: President
Phone: (601) 276-9556

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence FS36BAEAPR/TR-OP-O1 (MS)

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1760610109
Entity type: Organization
NPI issued: 24 Jun 2009
Record last updated: 24 Jun 2009

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.