CHRISTOPHER R. JACKSON – NPI #1417502998
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CHRISTOPHER JACKSON is a residential treatment facility located in NORTH POLE, AK. NPPES has assigned the NPI number 1417502998 to CHRISTOPHER JACKSON on August 01, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTOPHER JACKSON below.

NPI Profile for
CHRISTOPHER R. JACKSON

NPI Number
1417502998
Enumeration Date

(about 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHRISTOPHER R. JACKSON
Primary location
1502 LIATRIS LN
NORTH POLE, AK 99705-5082
Phone: (907) 385-5733 Fax:
Mailing address
1680 MIDLAND ST
NORTH POLE, AK 99705-5881
Phone: (907) 385-5733 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
AK 523381

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.