Jackson Vamc, NPI 1154784965
Psychiatric Residential Treatment Facility in Jackson, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154784965
NPI Entity Type Organization
Provider Name Jackson Vamc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1500 Woodrow Wilson Ave, Jackson, MS, US
Provider Mailing Address Po Box 94497, Cleveland, OH, US, 441014497
Is Sole Proprietor? No
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Organization Official

Official Name Erin Potter
Official Position NPI TEAM MEMBER
Phone 202-382-2579

Primary Taxonomy

Taxonomy Code

323P00000X

Taxonomy Name Psychiatric Residential Treatment Facility
Classification

Psychiatric Residential Treatment Facility

Group

Residential Treatment Facilities

Description A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

Other Organization Name

JACKSON VA CARE SITE
Other Name

Business Address

Jackson Vamc
1500 Woodrow Wilson Ave

Jackson, MS, US

Phone: 615-355-3451

Mailing Address

Jackson Vamc
Po Box 94497
Cleveland, OH, US
ZIP 441014497
Phone: 615-355-3451

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

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IDD WAIVER SERVICES Sharika Jones

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IDD WAIVER SERVICES Loverta Jones

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IDD WAIVER SERVICES Tamekia Mckines

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IDD WAIVER SERVICES Porosha Gaines

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DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

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IDD WAIVER SERVICES Fraxine Graves

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IDD WAIVER SERVICES Judy Jones

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IDD WAIVER SERVICES Michael Mcdonald

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41 Bonhomie Rd

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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