Individual provider · Type 1 NPI

Jeremiah Rashad Jackson

Community/Behavioral Health Agency · Surprise, AZ

NPI number 1588315980 Active

Practice location

14253 W Aster Dr
Surprise, AZ 85379-5505

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone 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 1588315980

Jeremiah Rashad Jackson's National Provider Identifier is 1588315980, issued on Jan 17, 2022. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Surprise, AZ. The record was last updated on Jan 17, 2022.