KENDALL JACKSON
NPI 1184557456
Substance Abuse Rehabilitation Facility in Sugar Grove, WV
About Kendall Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDALL JACKSON (NPI 1184557456) is an individual substance abuse rehabilitation facility provider in Sugar Grove, West Virginia and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUGAR GROVE, WV 26815
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184557456, enumerated as an "individual" on June 05, 2026.
The provider is located at 133 HEDRICK DR SUGAR GROVE, WV 26815 and the phone number is (310) 910-0406.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
