SHIRLEY JACKSON

Substance Abuse Rehabilitation Facility

Active Individual
NPI: 1558806687

Practice Address

2151 RUSH BLVD
Youngstown, OH 44507

Phone: (330) 744-1181

Specialties

Specialty Code Primary License
Substance Abuse Rehabilitation Facility 324500000X Yes RN218146 (OH)

Frequently Asked Questions

NPI 1558806687 is the National Provider Identifier for SHIRLEY JACKSON, a Substance Abuse Rehabilitation Facility provider located in Youngstown, OH. This NPI was enumerated on December 28, 2016.
SHIRLEY JACKSON practices at 2151 RUSH BLVD, Youngstown, OH 44507.

Quick Facts

NPI
1558806687
Type
Individual
Enumerated
Dec 28, 2016
Last Updated
Dec 28, 2016

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