JACKSON VA MEDICAL CENTER NPI 1285716928

NPI Information

JACKSON VA MEDICAL CENTER is a substance abuse rehabilitation facility in Jackson, MS. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. JACKSON VA MEDICAL CENTER NPI is 1285716928. The provider is registered as an organization entity type.

The provider's business location address is:

1500 E WOODROW WILSON AVE
JACKSON, MS
ZIP 39216-116
Phone: (601) 362-4471
Fax: (601) 364-1298

The provider's authorized official is Richard J Baltz .
The authorized official title is Center Director and has the following contact phone number (601) 364-1359.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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