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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