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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