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1750513818
MAGNOLIA ADDICTION TREATMENT SERVICES
JACKSON, MS
NPI
1750513818
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Entity Type
Organization
Authorized Contact
CHAD W TROSCLAIR
Clinical Manager
504-905-2965
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2009-08-21
Last Update Date
2009-08-21
Business Address
MAGNOLIA ADDICTION TREATMENT SERVICES
500 E WOODROW WILSON AVE STE D
JACKSON, MS 39216-4538
Phone number: 601-896-0349
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Mailing Address
MAGNOLIA ADDICTION TREATMENT SERVICES
500 E WOODROW WILSON AVE STE D
JACKSON, MS 39216-4538
Phone number:
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