IndividualActive
Ginger Jones Jackson
NPI 1194368415 · Mental Illness Community Based Residential Treatment Facility · East Orange, NJ
Provider details
- NPI number
- 1194368415
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
162 S Clinton St
East Orange, NJ 07018-3040
Phone: (973) 943-8417
Approximate (ZIP-level) locationGet directions
Mailing address
190 Knollwood Dr
Easton, PA 18042-7116
Registry dates
- Enumerated
- 2019-10-18
- Last updated
- 2019-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.