Organization
OXFORD OUTPATIENT CENTER, LLC
Active
Organization
OXFORD OUTPATIENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA WYNN MSN, RN (DIRECTOR OF OUTPATIENT OPERATIONS)
(828) 215-1455
Entity
Organization
Contact information
Practice address
611 COMMERCE PKWY, OXFORD, MS 38655
(615) 727-8416
(615) 457-8094
Mailing address
500 WILSON PIKE CIR STE 360, BRENTWOOD, TN 37027-3266
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
OOC-AGENCY
MS
Other
Enumeration date
03/27/2018
Last updated
10/11/2024
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