Organization
HEALTHTECH BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WALLACE (PRESIDENT)
(601) 981-5660
Entity
Organization
Contact information
Practice address
4807 N STATE ST, SUITE 301, JACKSON, MS 39206-4826
(601) 981-5660
(601) 981-5661
Mailing address
PO BOX 31101, JACKSON, MS 39286-1101
(601) 981-5660
(601) 981-5661
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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