Organization
JOURNEY TO THE STARS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELICIA LYNETTE NICHOLS MA (OWNER)
(773) 386-1399
Entity
Organization
Contact information
Practice address
309 W 146TH ST, DOLTON, IL 60419-1410
(312) 498-0276
Mailing address
309 W 146TH ST, DOLTON, IL 60419-1410
(312) 498-0276
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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