Whalio Doctors

NPI 1144694027

Healthtech Behavioral Health Center

Organisation Community/Behavioral Health Agency Jackson, MS

Practice location

Address
4807 N State St Suite 301, Jackson, MS 39206-4826
Phone
(601) 981-5660
Fax
(601) 981-5661
Mailing address
PO Box 31101, Jackson, MS 39286-1101

Authorised official

Name
Gary Wallace
Title
President
Phone
(601) 981-5660

Registered specialties

Community/Behavioral Health Agency Primary
Agencies Taxonomy 251S00000X

Registry record

NPI
1144694027
Entity type
Organization
NPI issued
16 Nov 2015
Record last updated
16 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.