Organization
A NEW JOURNEY COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY DONOVAN (BILLING SPECIALIST)
(877) 535-9923
Entity
Organization
Contact information
Practice address
567 VAUXHALL STREET EXT., WATERFORD, CT 06385-0638
(860) 608-3404
Mailing address
44 OTIS ST, NORWICH, CT 06360-4420
(860) 608-3404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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