Organization
NEW JOURNEY FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH PROCTOR (COO)
(919) 435-0989
Entity
Organization
Contact information
Practice address
156A BAKER ST, EMPORIA, VA 23847-1720
(434) 430-0154
Mailing address
156A BAKER ST, EMPORIA, VA 23847-1720
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710
—
VA
Enumeration date
06/12/2012
Last updated
06/12/2012
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