Organization
2ND JOURNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI FIELDS (CREDENTIALING CONSULTANT)
(443) 567-6120
Entity
Organization
Contact information
Practice address
5247 REISTERSTOWN RD 1ST FLOOR, BALTIMORE, MD 21215-5018
(240) 475-2325
Mailing address
5247 REISTERSTOWN RD FL 1, BALTIMORE, MD 21215-5018
(240) 475-2325
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
07/07/2023
Last updated
08/01/2023
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