Organization
OXFORD OUTPATIENT CENTER, LLC
Active
Other names
Oxford Outpatient Center Southaven
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA WYNN BSN, RN (DIRECTOR OF OUTPATIENT OPERATIONS)
(828) 215-1455
Entity
Organization
Contact information
Practice address
1150 CHURCH RD W, SOUTHAVEN, MS 38671-7144
(662) 205-0455
Mailing address
1150 CHURCH RD W, SOUTHAVEN, MS 38671-7144
(662) 205-0455
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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