Individual provider · Type 1 NPI

Chantille Unique Jackson, MSW, LSW

Community/Behavioral Health Agency · Berea, OH

NPI number 1578824447 Active

Practice location

202 E Bagley Rd
Berea, OH 44017-2058

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	S.1101606 (OH)

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 1578824447

Chantille Unique Jackson, MSW, LSW's National Provider Identifier is 1578824447, issued on Jun 6, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Berea, OH. The record was last updated on Jun 6, 2012.