Individual provider · Type 1 NPI
Megan Jackson
Emotionally Disturbed Childrens' Residential Treatment Facility · North Pole, AK
Practice location
1502 Liatris Ln
North Pole, AK 99705-5082
Mailing address
365 Kodiak St Stop 2000
Eielson Afb, AK 99702-5379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | 523381 (AK) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
2 other providers at this address
Other emotionally disturbed childrens' residential treatment facility providers in North Pole
About NPI 1013505064
Megan Jackson's National Provider Identifier is 1013505064, issued on Jan 5, 2021. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in North Pole, AK. The record was last updated on Jan 5, 2021.