ALCOHOL SERVICES CENTER INC. NPI 1518206440

NPI Information

  • NPI: 1518206440
  • Provider Name: ALCOHOL SERVICES CENTER, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 25D2164632
  • Address: 950 N WEST ST
    JACKSON, MS
    ZIP 39202
  • Phone: (601) 948-6220

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NPI Details

ALCOHOL SERVICES CENTER, INC. 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. ALCOHOL SERVICES CENTER, INC. NPI is 1518206440. The provider is registered as an organization entity type.

The provider's business location address is:

950 N WEST ST
JACKSON, MS
ZIP 39202-566
Phone: (601) 948-6220
Fax: (601) 948-6244

The provider's authorized official is Sheba L Borden .
The authorized official title is Executive Director and has the following contact phone number (601) 948-6220.

The CLIA number assigned to this NPI record is 25D2164632 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2013 and was last updated on 2/13/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityFS17BADA-OP/P01MISSISSIPPIYes

What is NPI?

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This page was last updated on: 11/21/2025

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