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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. You can also correspond with Christopher Robert Jackson through the mailing address at 1680 MIDLAND ST, NORTH POLE, AK - 99705-5881 (mailing address contact number: 907-385-5733).

Location: 1502 Liatris Ln, North Pole, AK, 99705-5881
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
1502 Liatris Ln
City
North Pole
State
Alaska
Zip
99705-5082
Phone Number
907-385-5733
Fax Number
person
Provider Business Mailing Address Details
Address
1502 Liatris Ln
City
North Pole
State
Alaska
Zip
99705-5082
Phone Number
907-385-5733
Fax Number
person
Provider's Taxonomy Details 1
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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