NPI | 1124471115 |
---|---|
Doing Business As | JOURNEY II |
Entity Type | Organization |
Authorized Contact | RANDALL LEWIS COOPER CFO 410-778-1099 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: DE 1180967) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2017-01-03 |