OrganizationActive
Care Clinic for Drug Addiction & Mental Health in North Mississippi
NPI 1659041663 · Addiction Medicine (Internal Medicine) Physician · Southaven, MS
Provider details
- NPI number
- 1659041663
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cedric Edwards, Medical Director(662) 934-8671
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8829 Centre St Ste 200
Southaven, MS 38671-2610
Phone: (662) 934-8671
Approximate (ZIP-level) locationGet directions
Mailing address
222 Southlakes Dr
Grenada, MS 38901-8499
Registry dates
- Enumerated
- 2021-09-20
- Last updated
- 2022-08-31
- Certified
- 2022-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.