Melvin Jackson
Melvin Jackson is an Emotionally Disturbed Childrens' Residential Treatment Facility in Avondale, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2009
Practice location Address checks out
2415 N 124th CirAvondale, AZ 85392-6509
Phone: (602) 841-3438
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X · Licence 11297 (AZ) |
|---|
Record details
| NPI number | 1831336411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2009 |
| Last updated in NPPES | January 19, 2009 |
| Mailing address | 2415 N 124th Cir, Avondale, AZ 85392-6509 |
Other providers in Avondale
-
New Hope of Arizona, Inc
12545 W Woodland Ave, Avondale, AZ 85323-8025 · (602) 535-5686