| NPI | 1952754848 |
|---|---|
| Doing Business As | JOURNEY III SHORT-TERM CRISIS STABILIZATION UNIT |
| 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 1180969) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2017-01-03 |