Organization
RED STICK RECOVERY LLC
Active
Parent organization
RED STICK RECOVERY LLC
Other names
Red Stick Recovery
Organization subpart
Yes
Provider details
NPI number
Legal business name
RED STICK RECOVERY LLC
Authorized official
MRS. KALEY BENSON RN (CHIEF EXECUTIVE OFFICER)
(228) 215-0255
Entity
Organization
Contact information
Practice address
856 HIGHWAY 90 STE D, BAY ST LOUIS, MS 39520-2737
(228) 215-0255
(228) 215-0255
Mailing address
6720 GREENMEADOW DR, GREENWELL SPRINGS, LA 70739-4102
(225) 978-4264
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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