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Organization

JACKSONS YOUTH AND FAMILY SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BYRON D JACKSON (OWNER)
(602) 920-2791
Entity
Organization

Contact information

Practice address
3101 N CENTRAL AVE, PHOENIX, AZ 85012-2645
(602) 920-2791
(928) 569-7054
Mailing address
3101 N CENTRAL AVE, PHOENIX, AZ 85012-2645
(602) 920-2791
(928) 569-7054

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/04/2020
Last updated
08/04/2020
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