NPI 1558806687

Shirley Jackson

Practitioner Substance Abuse Rehabilitation Facility Youngstown, OH

Practice location

Address: 2151 Rush Blvd, Youngstown, OH 44507-1535
Phone: (330) 744-1181
Fax: (330) 746-3353

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence RN218146 (OH)

Other Substance Abuse Rehabilitation Facility providers in Ohio →

Registry record

NPI: 1558806687
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2016
Record last updated: 28 Dec 2016

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.