Provider Demographics
NPI:1932466844
Name:THE OXFORD CENTRE, INC.
Entity Type:Organization
Organization Name:THE OXFORD CENTRE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC./TREAS.
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:DEBOW
Authorized Official - Last Name:FOWLKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-281-9992
Mailing Address - Street 1:PO BOX 3488
Mailing Address - Street 2:DEPT. 05-020
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38803-3488
Mailing Address - Country:US
Mailing Address - Phone:662-281-9992
Mailing Address - Fax:662-281-1326
Practice Address - Street 1:1916 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-4114
Practice Address - Country:US
Practice Address - Phone:662-281-9992
Practice Address - Fax:662-281-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility