NPI | 1831607910 |
---|---|
Former Legal Business Name | JOURNEY BEHAVIORAL SOLUTIONS, LLC |
Entity Type | Organization |
Authorized Contact | SHAULEE AHLERS IVERSON COO/Administrator 701-658-9032 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2018-01-11 |
Last Update Date | 2021-01-28 |