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Organization
JACKSON COMPREHENSION TREATMENT CENTER
Active
Organization
JACKSON COMPREHENSION TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK DEWAYNER DAVIS MSW (3C)
(601) 718-2468
Entity
Organization
Contact information
Practice address
1935 LAKELAND DR STE 900, JACKSON, MS 39216-5028
(601) 718-2468
Mailing address
3333 W NORTHSIDE DR LOT 17, CLINTON, MS 39056-3353
(601) 926-0569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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