OrganizationActive
Recovery Specialists of Mid South, LLC
NPI 1417599747 · Prevention Professional · Jackson, TN
Provider details
- NPI number
- 1417599747
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Authorized official
- Elizabeth Cole, Director/Coowner
Practice location
164 W University Pkwy
Jackson, TN 38305-1621
Phone: (731) 215-1135
Fax: (731) 410-6156
Mailing address
164 W University Pkwy Ste a
Jackson, TN 38305-1621
Registry dates
- Enumerated
- 2019-10-08
- Last updated
- 2025-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.