# JACKOSKY HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841506763
- **Authorized official:** CATHERINE JACKOSKY M.D. (OWNER)
- **Authorized official phone:** (440) 250-2130

## Contact information

- **Practice address:** 30400 DETROIT RD STE 404, WESTLAKE, OH 44145-1855
- **Practice address phone:** (440) 250-2130
- **Practice address fax:** (440) 250-2140
- **Mailing address:** 30400 DETROIT RD STE 404, WESTLAKE, OH 44145-1855
- **Mailing address phone:** (440) 250-2130
- **Mailing address fax:** (440) 250-2140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 35075326 | OH | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 08/30/2010
