Organization
GOLDEN TRIANGLE RECOVERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. VALENTINE M.S., CAADC, LCMHT (EXECUTIVE DIRECTOR)
(662) 324-2230
Entity
Organization
Contact information
Practice address
322 UNIVERSITY DR, STARKVILLE, MS 39759-2955
(662) 324-2230
(662) 324-2230
Mailing address
905 LOUISVILLE ST, STARKVILLE, MS 39759-3920
(662) 324-2230
(662) 324-2230
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
FS87-DADA-OP-01
MS
Other
Enumeration date
05/17/2007
Last updated
07/23/2013
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