# RED STICK RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RED STICK RECOVERY LLC
- **Other names:** Red Stick Recovery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336906478
- **Legal business name:** RED STICK RECOVERY LLC
- **Authorized official:** MRS. KALEY BENSON RN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (228) 215-0255

## Contact information

- **Practice address:** 856 HIGHWAY 90 STE D, BAY ST LOUIS, MS 39520-2737
- **Practice address phone:** (228) 215-0255
- **Practice address fax:** (228) 215-0255
- **Mailing address:** 6720 GREENMEADOW DR, GREENWELL SPRINGS, LA 70739-4102
- **Mailing address phone:** (225) 978-4264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 03/05/2024