Organization
CREATIVE JOURNEY, LLC
Active
Other names
Journey Behavioral Solutions, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAULEE AHLERS IVERSON MS OTR/L (COO/ADMINISTRATOR)
(701) 658-9032
Entity
Organization
Contact information
Practice address
429 2ND ST SW STE 205, JAMESTOWN, ND 58401
(701) 658-9032
Mailing address
419 5TH ST NE # 14B, JAMESTOWN, ND 58401-3318
(701) 658-9032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/11/2018
Last updated
01/28/2021
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