| NPI | 1922789296 |
|---|---|
| Former Legal Business Name | LIFE JOURNEY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | ALRICK A DEMONTEGNAC President 210-500-6031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-31 |