Organization
ALL ABOUT THE JOURNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY JO WALILKO (OWNER)
(973) 876-1778
Entity
Organization
Contact information
Practice address
66 S 2ND AVE, MINE HILL, NJ 07803-2914
(973) 876-1778
(973) 584-6290
Mailing address
66 S 2ND AVE, MINE HILL, NJ 07803-2914
(973) 876-1778
(973) 584-6290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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