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Jeremiah Rashad Jackson
Community/Behavioral Health Agency in Surprise, Arizona
NPI 1588315980

Jeremiah Rashad Jackson is a Community/Behavioral Health Agency based in Surprise, AZ. Jeremiah Rashad Jackson practices in Surprise, AZ. The NPI Number for Jeremiah Rashad Jackson is 1588315980 and holds a License No. (Arizona).

The current practice location address for Jeremiah Rashad Jackson is 14253 W Aster Dr, Surprise, AZ and can be reached out via phone at 205-420-8155.

Location: 14253 W Aster Dr, Surprise, AZ, 85379-5505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588315980
Provider Name
Jeremiah Rashad Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
14253 W Aster Dr, Surprise, AZ, 85379-5505
Phone Number
205-420-8155
Fax Number
Provider Enumeration Date
01/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14253 W Aster Dr
City
Surprise
State
Arizona
Zip
85379-5505
Phone Number
205-420-8155
Fax Number
person
Provider Business Mailing Address Details
Address
14253 W Aster Dr
City
Surprise
State
Arizona
Zip
85379-5505
Phone Number
205-420-8155
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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