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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DC JACKSON LLC

Active Organization

DC JACKSON LLC is a Adult Mental Health Clinic organization located in TAOS, New Mexico. NPI 1265264857 is currently active in the NPPES registry. Verify at CMS.

Adult Mental Health Clinic · TAOS, NM

Registration Details

NPI Number
1265264857
Provider Type
Organization
NPI Issued
Aug 14, 2024 (2.0117997946088 yrs)
Last Updated
Aug 14, 2024

Practice Information

Address
25 GRIZZLY BEAR RUN RD
TAOS, NM, 87571
Browse NM providers · Browse ZIP 87571
Phone
5055230066
Primary Specialty
Adult Mental Health Clinic
261QM0850X
Additional Specialty
Adult Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.