Christopher Robert Jackson - North Pole, AK

Christopher Robert Jackson

Emotionally Disturbed Childrens' Residential Treatment Facility in North Pole, Alaska

NPI 1417502998

Christopher Robert Jackson is a Emotionally Disturbed Childrens' Residential Treatment Facility based in North Pole, AK. Christopher Robert Jackson practices in North Pole, AK. The NPI Number for Christopher Robert Jackson is 1417502998 and holds a License No. 523381 (Alaska).

The current practice location address for Christopher Robert Jackson is 1502 Liatris Ln, North Pole, AK and can be reached out via phone at 907-385-5733.

Location: 1502 Liatris Ln, North Pole, AK, 99705-5881

NPI Number

1417502998

Provider Name

Christopher Robert Jackson

Credential

Provider Entity Type

Individual

Gender

Male

Address

1502 Liatris Ln, North Pole, AK, 99705-5881

Phone Number

907-385-5733

Fax Number

Provider Enumeration Date

08/01/2019

Last Update Date

03/10/2024

Address

1502 Liatris Ln

City

North Pole

State

Alaska

Zip

99705-5082

Phone Number

907-385-5733

Fax Number

Address

1502 Liatris Ln

City

North Pole

State

Alaska

Zip

99705-5082

Phone Number

907-385-5733

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Speciality

Taxonomy

322D00000X

License No.

523381 (Alaska)

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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