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Organization

JOURNEY TO WELLNESS, INC.

Active
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Organization

JOURNEY TO WELLNESS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANNA KOMISSARENKO (PRESIDENT/ CEO)
(732) 709-7440
Entity
Organization

Contact information

Practice address
222 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-4126
(732) 709-7440
Mailing address
222 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-4126

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
2000437-09
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0212377
NJ
Enumeration date
09/07/2010
Last updated
09/07/2010
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