Organization
JACKSON COUNTY YOUTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEREMY C BURNS MA (DIRECTOR)
(517) 768-2778
Entity
Organization
Contact information
Practice address
930 FLEMING AVE, JACKSON, MI 49202-2534
(517) 788-4460
(517) 788-4661
Mailing address
930 FLEMING AVE, JACKSON, MI 49202-2534
(517) 788-4460
(517) 788-4661
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
CO380201204
MI
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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