Organization · Type 2 NPI
Jackson Home, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Fairmont, NC
NPI number
1285838805
Active
Practice location
509 Holly St
Fairmont, NC 28340-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | MHL078158 (NC) |
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.
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- Cornerstone Treatment FaciltiyEmotionally Disturbed Childrens' Residential Treatment Facility Fairmont, NC NPI 1922445790
About NPI 1285838805
Jackson Home, Inc.'s National Provider Identifier is 1285838805, issued on Jun 14, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Fairmont, NC. The record was last updated on Aug 22, 2020.