person
Shirley Jackson
Substance Abuse Rehabilitation Facility in Youngstown, Ohio
NPI 1558806687

Shirley Jackson is a Substance Abuse Rehabilitation Facility based in Youngstown, OH. Shirley Jackson practices in Youngstown, OH. The NPI Number for Shirley Jackson is 1558806687 and holds a License No. RN218146 (Ohio).

The current practice location address for Shirley Jackson is 2151 Rush Blvd, Youngstown, OH and can be reached out via phone at 330-744-1181 and via fax at 330-746-3353. You can also correspond with Shirley Jackson through the mailing address at 2151 RUSH BLVD, YOUNGSTOWN, OH - 44507-1535 (mailing address contact number: 330-744-1181).

Location: 2151 Rush Blvd, Youngstown, OH, 44507-1535
person
Provider Profile Details
NPI Number
1558806687
Provider Name
Shirley Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2151 Rush Blvd, Youngstown, OH, 44507-1535
Phone Number
330-744-1181
Fax Number
330-746-3353
Provider Enumeration Date
12/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2151 Rush Blvd
City
State
Zip
44507-1535
Phone Number
330-744-1181
Fax Number
330-746-3353
person
Provider Business Mailing Address Details
Address
2151 Rush Blvd
City
State
Zip
44507-1535
Phone Number
330-744-1181
Fax Number
330-746-3353
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
RN218146 (Ohio)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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