| Healthtech Behavioral Health Center | |
|
4807 N State St Suite 301 Jackson MS 39206-4826 | |
| (601) 981-5660 | |
| (601) 981-5661 |
| Full Name | Healthtech Behavioral Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4807 N State St, Jackson, Mississippi |
| Authorized Official Name and Position | Gary Wallace (PRESIDENT) |
| Authorized Official Contact | 6019815660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthtech Behavioral Health Center Po Box 31101 Jackson MS 39286-1101 Ph: (601) 981-5660 | Healthtech Behavioral Health Center 4807 N State St Suite 301 Jackson MS 39206-4826 Ph: (601) 981-5660 |
| NPI Number | 1144694027 |
|---|---|
| Provider Enumeration Date | 11/16/2015 |
| Last Update Date | 11/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144694027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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