Organization
ALCOHOL SERVICES CENTER, INC.
Active
Organization
ALCOHOL SERVICES CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEBA L BORDEN LCMHT, LCAC (EXECUTIVE DIRECTOR)
(601) 948-6220
Entity
Organization
Contact information
Practice address
950 N WEST ST, JACKSON, MS 39202-2566
(601) 948-6220
(601) 948-6244
Mailing address
950 N WEST ST, JACKSON, MS 39202-2566
(601) 948-6220
(601) 948-6244
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
FS17BADA-OP/P01
MS
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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