Golden Triangle Recovery Center, Inc.

NPI 1053528901 - Clinic/Center - 261QR0405X

NPI Details
NPI 1053528901
Enumeration Date 05/17/2007
Last Updated 07/23/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL J. MICHAEL
Position EXECUTIVE DIRECTOR
Phone (662) 324-2230
Fax (662) 324-2230
Practice Location
322 UNIVERSITY DR
STARKVILLE MS, 39759-2955, US
Phone (662) 324-2230
Fax (662) 324-2230
Business Location
905 LOUISVILLE ST
STARKVILLE MS, 39759-3920, US
Phone (662) 324-2230
Fax (662) 324-2230
Toxanomy
Taxonomy Code 261QR0405X
License State Mississippi
License Number FS87-DADA-OP-01
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According to our database, Golden Triangle Recovery Center, Inc. NPI is 1053528901, taxonomy code is 261QR0405X and license number is FS87-DADA-OP-01, license state is located at Mississippi. Golden Triangle Recovery Center, Inc. physically located at 322 University Dr, Starkville MS, 39759-2955. NPI Number 1033115704 has the healthcare provider type.

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1053528901 NPI number is provided on an as is basis without warranty of any kind. 1053528901 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Triangle Recovery Center, Inc. are for informational purposes only.