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Organization

OXFORD TREATMENT CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK STOVALL (FACILITY CEO)
(662) 281-9992
Entity
Organization

Contact information

Practice address
1916 UNIVERSITY AVE, OXFORD, MS 38655-4114
(662) 281-1306
(615) 457-8094
Mailing address
200 POWELL PL, ATTN: LEGAL DEPARTMENT, BRENTWOOD, TN 37027-7514
(615) 732-1605

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
08/10/2015
Last updated
08/25/2021
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