Provider Demographics
NPI:1376701573
Name:THE OXFORD CENTRE, LLC
Entity Type:Organization
Organization Name:THE OXFORD CENTRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:662-281-1022
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:ETTA
Mailing Address - State:MS
Mailing Address - Zip Code:38627-0099
Mailing Address - Country:US
Mailing Address - Phone:662-281-1022
Mailing Address - Fax:662-281-1024
Practice Address - Street 1:297 COUNTY ROAD 244
Practice Address - Street 2:
Practice Address - City:ETTA
Practice Address - State:MS
Practice Address - Zip Code:38627-9523
Practice Address - Country:US
Practice Address - Phone:662-281-1022
Practice Address - Fax:662-281-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-26
Last Update Date:2008-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility