NPI 1932213840

South Central Regional Medical Center

Organisation Substance Use Disorder Rehabilitation Hospital Unit Laurel, MS

Practice location

Address: 1220 Jefferson St, Laurel, MS 39440-4355
Phone: (601) 426-4000
Fax: (601) 426-4228
Mailing address: PO Box 607, Laurel, MS 39441-0607

Authorised official

Name: James T Canizaro
Title: Cfo
Phone: (601) 426-4504

Registered specialties

Substance Use Disorder Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 276400000X Licence 11153 (MS)

Other Rehabilitation, Substance Use Disorder Unit providers in Mississippi →

Registry record

NPI: 1932213840
Entity type: Organization
NPI issued: 18 Aug 2006
Record last updated: 23 Apr 2008

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.