Basic Information
Provider Information
NPI: 1437327830
EntityType: 2
ReplacementNPI:  
OrganizationName: RIVER OAKS MANAGEMENT COMPANY, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: CARE PLUS BEHAVIORAL HEALTH
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 689022
Address2:  
City: FRANKLIN
State: TN
PostalCode: 370689022
CountryCode: US
TelephoneNumber: 6154657000
FaxNumber: 6156286877
Practice Location
Address1: 207 W JACKSON ST
Address2: SUITE 1
City: RIDGELAND
State: MS
PostalCode: 391572311
CountryCode: US
TelephoneNumber: 6018983718
FaxNumber: 6018980877
Other Information
ProviderEnumerationDate: 02/19/2008
LastUpdateDate: 02/11/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: WRIGHT
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: P
AuthorizedOfficialTitleorPosition: SR. DIRECTOR
AuthorizedOfficialTelephone: 6154657587
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HEALTH MANAGEMENT ASSOCIATES, INC
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084A0401X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine

No ID Information.


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