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JACKSON AREA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCY NPI 1083766323


NPI Information

NPI: 1083766323
Provider Name: JACKSON AREA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCY

Other Name: JACOA

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
900 E CHESTER ST
JACKSON, TN
ZIP 38301
Phone: (731) 423-3653
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JACKSON AREA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCY is a substance abuse rehabilitation facility in Jackson, TN. 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 AREA COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCY NPI is 1083766323. The provider is registered as an organization entity type.
The provider Other Name Is Jacoa.

The provider's business location address is:

900 E CHESTER ST
JACKSON, TN
ZIP 38301-502
Phone: (731) 423-3653
Fax: (731) 422-2820

The provider's authorized official is Joe Pickens .
The authorized official title is Director and has the following contact phone number (731) 423-3653.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/30/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility0000000044TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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