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Organization
SOVEREIGN JOURNEY L3C
Active
Organization
SOVEREIGN JOURNEY L3C
Active
Other names
Sovereign Journey
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E. FITZHUGH PH.D (EXECUTIVE DIRECTOR)
(603) 869-7318
Entity
Organization
Contact information
Practice address
2444 MAIN ST, BETHLEHEM, NH 03574-4916
(603) 869-7318
Mailing address
PO BOX 216, BETHLEHEM, NH 03574-0216
(603) 869-7318
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
03806
NH
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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