SHIRLEY JACKSON – NPI #1558806687
Substance Abuse Rehabilitation Facility
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
SHIRLEY JACKSON is a substance abuse rehabilitation facility located in YOUNGSTOWN, OH. NPPES has assigned the NPI number 1558806687 to SHIRLEY JACKSON on December 28, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
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NPI Profile for
SHIRLEY JACKSON
(more than 9 years ago)
YOUNGSTOWN, OH 44507-1535 Phone: (330) 744-1181 Fax: (330) 746-3353
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 |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
OH | RN218146 |
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.