| NPI | 1538761010 |
|---|---|
| Doing Business As | JACKSON HOUSE SANTA PAULA |
| Entity Type | Organization |
| Authorized Contact | CHAD ENGBRECHT Chief Development Officer 858-254-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2024-01-11 |