Organization
JOURNEY FOR LEARNING INDEPENDENCE FOR EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOURNEY GUTIERREZ-TATUM (FOUNDER/CEO)
(404) 788-6604
Entity
Organization
Contact information
Practice address
1316 WESTWARD DR SW, MARIETTA, GA 30008-4028
(404) 788-6604
Mailing address
1316 WESTWARD DR SW, MARIETTA, GA 30008-4028
(404) 788-6604
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12075335
GA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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