Organization
JOURNEY THERAPEUTIC OUTREACH SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN BASS (CO-OWNER)
(352) 631-8568
Entity
Organization
Contact information
Practice address
110 N 4TH ST, LEESBURG, FL 34748-5167
(352) 631-8568
Mailing address
110 N 4TH ST, LEESBURG, FL 34748-5167
(352) 631-8568
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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