Jackson County Resource Center

NPI #1962622027 in Holton, Kansas

Provider Information

NPI Number: 1962622027
Entity Type: Organization
Organization Name: Jackson County Resource Center
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 30, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 625 VERMONT AVE
City: Holton
State: Kansas
ZIP Code: 66436-2037
Phone: (785) 364-3534

Authorized Official

Name: MS. MARY LINCOLN
Title: EXECUTIVE DIRECTOR
Phone: (785) 364-3534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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