OrganizationActive
Magnolia Addiction Treatment Services
NPI 1750513818 · Medical Specialty Clinic/Center · Jackson, MS
Provider details
- NPI number
- 1750513818
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chad Trosclair, Clinical Manager(504) 905-2965
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
500 E Woodrow Wilson Ave Ste D
Jackson, MS 39216-4538
Phone: (601) 896-0349
Approximate (ZIP-level) locationGet directions
Mailing address
500 E Woodrow Wilson Ave Ste D
Jackson, MS 39216-4538
Registry dates
- Enumerated
- 2009-08-21
- Last updated
- 2009-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.