JALISA JACKSON

Mental Illness Community Based Residential Treatment Facility

NPI: 1366041667Individual

Specialties, Licenses & Credentials

Mental Illness Community Based Residential Treatment FacilityPrimary

Community Based Residential Treatment Facility, Mental Illness

Code: 320800000X

MHL-036-348(NC)

Contact & Hours

Address: 11413 MANGLA DR
CHARLOTTE, NC 28214
Phone: (704) 819-4909

Quick Facts

NPI: 1366041667
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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