| NPI | 1457873317 |
|---|---|
| Doing Business As | JACKSON HOUSE |
| Entity Type | Organization |
| Authorized Contact | CHAD ENGBRECHT Chief Financial Officer 619-667-6009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: CA 374603946) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2024-01-11 |