Organization
JOURNEY INTO WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GREEN (CEO)
(856) 793-7614
Entity
Organization
Contact information
Practice address
309 FELLOWSHIP RD STE 200, MOUNT LAUREL, NJ 08054-1234
(856) 793-7614
(856) 437-6345
Mailing address
PO BOX 1445, MOUNT LAUREL, NJ 08054-7445
(856) 793-7614
(856) 437-6345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
MAGELLAN HEALTHCARE
NJ
Enumeration date
04/11/2019
Last updated
04/11/2019
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