Beacon Behavioral Health-Jackson
NPI #1194964049 in Jackson, Mississippi
Provider Information
- NPI Number
- 1194964049
- Entity Type
- Organization
- Organization Name
- Beacon Behavioral Health-Jackson
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Feb 17, 2009
- Last Updated
- Feb 17, 2009
Practice Location
- Address
- 5360 I 55 N
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-4026
- Phone
- (601) 373-4507
Authorized Official
- Name
- MR. PHILLIP WENDELL
- Title
- CEO
- Phone
- (225) 810-4040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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