Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shirley Jackson

Individual provider Substance Abuse Rehabilitation Facility · NPI 1558806687

Shirley Jackson is a Substance Abuse Rehabilitation Facility in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2016

Practice location Address checks out

2151 Rush Blvd
Youngstown, OH 44507-1535
Phone: (330) 744-1181
Fax: (330) 746-3353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence RN218146 (OH)

Record details

NPI number1558806687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2016
Last updated in NPPESDecember 28, 2016
Mailing address2151 Rush Blvd, Youngstown, OH 44507-1535

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