NPI 1265264857

DC Jackson LLC

Organisation Adult Mental Health Clinic/Center Taos, NM

Practice location

Address: 25 Grizzly Bear Run Rd, Taos, NM 87571
Phone: (505) 523-0066
Mailing address: 1335 Paseo del Pueblo Sur # 249, Taos, NM 87571-5972

Authorised official

Name: Charity Jackson
Title: Owner
Phone: (940) 220-1684

Registered specialties (2)

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in New Mexico →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in New Mexico →

Registry record

NPI: 1265264857
Entity type: Organization
NPI issued: 14 Aug 2024
Record last updated: 14 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.