Jalisa Jackson is a community based residential treatment facility mental illness in Charlotte, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. Jalisa Jackson NPI is 1366041667. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
11413 MANGLA DR
CHARLOTTE, NC
ZIP 28214-885
Phone: (704) 819-4909
The enumeration date for this NPI number is 10/19/2020 and was last updated on 10/19/2020.