| Vagcvhcs | |
|
400 Veterans Ave Biloxi MS 39531-2410 | |
| (228) 523-5000 | |
| Not Available |
| Full Name | Vagcvhcs |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 400 Veterans Ave, Biloxi, Mississippi |
| Authorized Official Name and Position | William L Clayton (PSYCHIATRIST/ACTING DIRECTOR) |
| Authorized Official Contact | 2285235000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vagcvhcs 7125 Richmond Dr Biloxi MS 39532-4045 Ph: (228) 392-8439 | Vagcvhcs 400 Veterans Ave Biloxi MS 39531-2410 Ph: (228) 523-5000 |
| NPI Number | 1326069964 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326069964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 5595 (Mississippi) | Primary |
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