Organization
ITSA JOURNEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN C TAPIA LCSW (THERAPIST)
(708) 267-1971
Entity
Organization
Contact information
Practice address
2240 S 2ND AVE, RIVERSIDE, IL 60546-1307
(708) 267-1971
Mailing address
2240 S 2ND AVE, RIVERSIDE, IL 60546-1307
(708) 267-1971
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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