Jackson Va Medical Center
NPI #1285716928 in Jackson, Mississippi
Provider Information
- NPI Number
- 1285716928
- Entity Type
- Organization
- Organization Name
- Jackson Va Medical Center
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Oct 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1500 E WOODROW WILSON AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5116
- Phone
- (601) 362-4471
Authorized Official
- Name
- DR. RICHARD J BALTZ, D.O
- Title
- CENTER DIRECTOR
- Phone
- (601) 364-1359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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