person
Jessie R Jackson
Child Mental Illness Respite Care in Tucson, Arizona
NPI 1104908417

Jessie R Jackson is a Child Mental Illness Respite Care based in Tucson, AZ and is specialized in Respite Care, Mental Illness, Child. Jessie R Jackson practices in Tucson, AZ. The NPI Number for Jessie R Jackson is 1104908417 and holds a License No. 3923 (Arizona).

The current practice location address for Jessie R Jackson is 9855 E Irvington Rd, Tucson, AZ and can be reached out via phone at 520-733-1165 and via fax at 520-733-1165.

Location: 9855 E Irvington Rd, Tucson, AZ, 85730-5220
person
Provider Profile Details
NPI Number
1104908417
Provider Name
Jessie R Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
9855 E Irvington Rd, Tucson, AZ, 85730-5220
Phone Number
520-733-1165
Fax Number
520-733-1165
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9855 E Irvington Rd
City
State
Zip
85730-5220
Phone Number
520-733-1165
Fax Number
520-733-1165
person
Provider Business Mailing Address Details
Address
9855 E Irvington Rd
City
State
Zip
85730-5220
Phone Number
520-733-1165
Fax Number
520-733-1165
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
3923 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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