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Andre Jackson
Community/Behavioral Health Agency in Holland, Ohio
NPI 1386131308

Andre Jackson is a Community/Behavioral Health Agency based in Toledo, OH. Andre Jackson practices in Holland, OH. The NPI Number for Andre Jackson is 1386131308 and holds a License No. (Ohio).

The current practice location address for Andre Jackson is 7015 Spring Mdws W Ste 102, Holland, OH and can be reached out via phone at 419-491-1180.

Location: 7015 Spring Mdws W Ste 102, Holland, OH, 43613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386131308
Provider Name
Andre Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
7015 Spring Mdws W Ste 102, Holland, OH, 43613
Phone Number
419-491-1180
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7015 Spring Mdws W Ste 102
City
Holland
State
Ohio
Zip
43528-9299
Phone Number
419-491-1180
Fax Number
person
Provider Business Mailing Address Details
Address
7015 Spring Mdws W Ste 102
City
Holland
State
Ohio
Zip
43528-9299
Phone Number
419-491-1180
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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