| NPI | 1922283423 |
|---|---|
| Other Name | PATRICK JAROME JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MS 07186736) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |