Organization
NEW JOURNEY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DOLORES JD, PHD (CEO)
(916) 385-4849
Entity
Organization
Contact information
Practice address
2497 S ROANE ST, HARRIMAN, TN 37748-8670
(865) 389-6991
Mailing address
621 STEEPLECHASE CT, RENO, NV 89521-6250
(916) 385-4849
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
12/10/2018
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