Individual provider · Type 1 NPI
Ginger Jones Jackson
Mental Illness Community Based Residential Treatment Facility · East Orange, NJ
NPI number
1194368415
Active
Practice location
162 S Clinton St
East Orange, NJ 07018-3040
Mailing address
190 Knollwood Dr
Easton, PA 18042-7116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Another provider at this address
Other mental illness community based residential treatment facility providers in East Orange
About NPI 1194368415
Ginger Jones Jackson's National Provider Identifier is 1194368415, issued on Oct 18, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in East Orange, NJ. The record was last updated on Oct 18, 2019.