NPI 1285716928

Jackson VA Medical Center

Organisation Substance Abuse Rehabilitation Facility Jackson, MS

Practice location

Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: (601) 362-4471
Fax: (601) 364-1298

Authorised official

Name: Richard J Baltz
Title: Center Director
Phone: (601) 364-1359

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Mississippi →

Registry record

NPI: 1285716928
Entity type: Organization
NPI issued: 20 Oct 2006
Record last updated: 22 Aug 2020

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.