Individual provider · Type 1 NPI

Byron Jackson

Community/Behavioral Health Agency · Phoenix, AZ

NPI number 1225667264 Active

Practice location

3101 N Central Ave # 220B
Phoenix, AZ 85012-2645

Call (602) 920-2791 Map

Mailing address

2320 E Baseline Rd Ste 148-203
Phoenix, AZ 85042-6959

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1225667264

Byron Jackson's National Provider Identifier is 1225667264, issued on Apr 2, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 2, 2020.