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Jackson Family Care Home Ii
Adult Mental Health Clinic/Center in Wendell, North Carolina
NPI 1588808240

Jackson Family Care Home Ii is an Adult Mental Health Clinic/Center based in Wendell, NC and is specialized in Adult Mental Health. Jackson Family Care Home Ii practices in Wendell, NC. The NPI Number for Jackson Family Care Home Ii is 1588808240 and holds a License No. FCL092148 (North Carolina).

The current practice location address for Jackson Family Care Home Ii is 7112 Outrigger Dr, Wendell, NC and can be reached out via phone at 919-366-1513 and via fax at 919-366-1513.

Location: 7112 Outrigger Dr, Wendell, NC, 27591-7901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588808240
Provider Name
Jackson Family Care Home Ii
Credential
Provider Entity Type
Organization
Address
7112 Outrigger Dr, Wendell, NC, 27591-7901
Phone Number
919-366-1513
Fax Number
919-366-1513
Provider Enumeration Date
04/26/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7112 Outrigger Dr
City
Wendell
State
North Carolina
Zip
27591-7240
Phone Number
919-366-1513
Fax Number
919-366-1513
person
Provider Business Mailing Address Details
Address
7112 Outrigger Dr
City
Wendell
State
North Carolina
Zip
27591-7240
Phone Number
919-366-1513
Fax Number
919-366-1513
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
FCL092148 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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