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Organization

2ND JOURNEY LLC

Active
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Organization

2ND JOURNEY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI FIELDS (CREDENTIALING CONSULTANT)
(443) 567-6120
Entity
Organization

Contact information

Practice address
5247 REISTERSTOWN RD 1ST FLOOR, BALTIMORE, MD 21215-5018
(240) 475-2325
Mailing address
5247 REISTERSTOWN RD FL 1, BALTIMORE, MD 21215-5018
(240) 475-2325

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
261QR0800X
Recovery Care Clinic/Center

Other

Enumeration date
08/04/2023
Last updated
08/04/2023
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