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Organization
CREATIVE JOURNEY UNITED LLC
Active
Organization
CREATIVE JOURNEY UNITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA LOREAL DUMAS PH.D., ED., MA, BSW (CHIEF EXECUTIVE OFFICER)
(910) 975-4609
Entity
Organization
Contact information
Practice address
478 GREEN LAKE RD, ROCKINGHAM, NC 28379-7850
(910) 817-9021
(910) 817-9092
Mailing address
478 GREEN LAKE RD, ROCKINGHAM, NC 28379-7850
(910) 817-9021
(910) 817-9092
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
02/04/2022
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