Organization
MAIDS
Active
Organization
MAIDS
Active
Other names
MAIDS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CALINA L PATTERSON (BILLER)
(662) 347-2052
Entity
Organization
Contact information
Practice address
6831 CRUMPLER BLVD STE 100, OLIVE BRANCH, MS 38654-2055
(901) 487-1912
Mailing address
3109 JOHN MICHAEL DR, SOUTHAVEN, MS 38672-8597
(662) 347-2052
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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