| NPI | 1356033443 |
|---|---|
| Doing Business As | JACKSON HOUSE VISALIA |
| Entity Type | Organization |
| Authorized Contact | CHAD R ENGBRECHT Chief Development Officer 858-254-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |