Organization
RECOVERDREAM LLC
Active
Organization
RECOVERDREAM LLC
Active
Other names
REBOS TODAY IOP LLC, recover/DREAM
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M FULLER III (CHIEF MARKETING OFFICER)
(662) 638-6842
Entity
Organization
Contact information
Practice address
405 GALLERIA DRIVE, SUITE C, OXFORD, MS 38655-4717
(662) 638-6842
(662) 638-6842
Mailing address
405 GALLERIA DRIVE, SUITE C, OXFORD, MS 38655-4717
(662) 638-6842
(662) 638-6842
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
06/29/2022
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