OrganizationActive
Woodlake Addiction Recovery of Mississippi, LLC
NPI 1376157032 · Substance Abuse Rehabilitation Facility · Biloxi, MS
Provider details
- NPI number
- 1376157032
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Woodlake Management, LLC
- Organization subpart
- Yes
- Authorized official
- Kendall Mccullar, Credentialing Specialist(225) 900-8940
Specialties & taxonomies
Residential Treatment Facilities
Practice location
152 Gateway Dr
Biloxi, MS 39531-4409
Phone: (225) 924-1910
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 41853
Baton Rouge, LA 70835-1853
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.