Jackson Vamc
NPI #1154784965 in Jackson, Mississippi
Provider Information
- NPI Number
- 1154784965
- Entity Type
- Organization
- Organization Name
- Jackson Vamc
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Mar 30, 2016
- Last Updated
- Oct 4, 2017
Practice Location
- Address
- 1500 WOODROW WILSON AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5116
- Phone
- (615) 355-3451
Authorized Official
- Name
- ERIN POTTER
- Title
- NPI TEAM MEMBER
- Phone
- (202) 382-2579
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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