CHARLES JACKSON

SALEM, OH
NPI1174099758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-10-22
Last Update Date2018-10-22
Business Address
CHARLES JACKSON QMHS-H
12616 SHARON LYNN DR
SALEM, OH 44460-9134
Phone number: 330-337-7732
Mailing Address
CHARLES JACKSON QMHS-H
2000 NOBLE DR
WOOSTER, OH 44691-5353
Phone number: