Organization
CREATIVE JOURNEY UNITED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA LOREAL DUMAS PH.D., ED., MA, BSW (CHIEF EXECUTIVE OFFICER)
(910) 975-4609
Entity
Organization
Contact information
Practice address
478 GREEN LAKE RD, ROCKINGHAM, NC 28379-7850
(910) 817-9021
(910) 817-9092
Mailing address
478 GREEN LAKE RD, ROCKINGHAM, NC 28379-7850
(910) 817-9021
(910) 817-9092
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
02/04/2022
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