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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