Christopher Robert Jackson

NPI #1417502998 in North Pole, Alaska

Provider Information

NPI Number
1417502998
Entity Type
Individual
Name
Christopher Robert Jackson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 1, 2019
Last Updated
Aug 1, 2019

Practice Location

Address
1502 LIATRIS LN
State
Alaska
ZIP Code
99705-5082
Phone
(907) 385-5733

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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