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Albert Jackson, AODA
Mental Health Clinic/Center (Including Community Mental Health Center) in Milwaukee, Wisconsin
NPI 1720421795

Albert Jackson is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Milwaukee, WI and is specialized in Mental Health (Including Community Mental Health Center). Albert Jackson practices in Milwaukee, WI and has the professional credentials of AODA. The NPI Number for Albert Jackson is 1720421795 and holds a License No. 16862-130 (Wisconsin).

The current practice location address for Albert Jackson is 4001 W Capitol Dr, Milwaukee, WI and can be reached out via phone at 414-810-6691.

Location: 4001 W Capitol Dr, Milwaukee, WI, 53209-5750
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720421795
Provider Name
Albert Jackson
Credential
AODA
Provider Entity Type
Individual
Gender
Male
Address
4001 W Capitol Dr, Milwaukee, WI, 53209-5750
Phone Number
414-810-6691
Fax Number
Provider Enumeration Date
04/09/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4001 W Capitol Dr
City
Milwaukee
State
Wisconsin
Zip
53216-2530
Phone Number
414-810-6691
Fax Number
person
Provider Business Mailing Address Details
Address
4001 W Capitol Dr
City
Milwaukee
State
Wisconsin
Zip
53216-2530
Phone Number
414-810-6691
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
16862-130 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
16862-130 (Wisconsin)
Definition
Definition to come...
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