person
Kewuan Deshaun Jackson
Child Mental Illness Respite Care in Tucson, Arizona
NPI 1639300874

Kewuan Deshaun Jackson is a Child Mental Illness Respite Care based in Tucson, AZ and is specialized in Respite Care, Mental Illness, Child. Kewuan Deshaun Jackson practices in Tucson, AZ. The NPI Number for Kewuan Deshaun Jackson is 1639300874 and holds a License No. 1490923 (Arizona).

The current practice location address for Kewuan Deshaun Jackson is 4880 N Sabino Canyon Rd, Tucson, AZ and can be reached out via phone at 520-818-4318.

Location: 4880 N Sabino Canyon Rd, Tucson, AZ, 85750-7006
person
Provider Profile Details
NPI Number
1639300874
Provider Name
Kewuan Deshaun Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4880 N Sabino Canyon Rd, Tucson, AZ, 85750-7006
Phone Number
520-818-4318
Fax Number
Provider Enumeration Date
08/05/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4880 N Sabino Canyon Rd
City
State
Zip
85750-7006
Phone Number
520-818-4318
Fax Number
person
Provider Business Mailing Address Details
Address
4880 N Sabino Canyon Rd
City
State
Zip
85750-7006
Phone Number
520-818-4318
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
License No.
1490923 (Arizona)
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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