Organization · NPI-2

2nd Journey LLC

Clinic/Center, Rehabilitation, Substance Use Disorder · Baltimore, MD

NPI number1013695113
StatusActive
Last updated in NPPESAug 1, 2023

Details

NPI
1013695113
Entity type
Organization (NPI-2)
Legal business name
2nd Journey LLC
Organization subpart
No
Enumeration date
Jul 7, 2023
Certification date
Aug 1, 2023
Last updated
Aug 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––Yes
251S00000X Community/Behavioral Health––
261QR0800X Clinic/Center, Recovery Care––

Practice location

5247 Reisterstown Rd 1st Floor
Baltimore, MD 21215-5018

Phone 240-475-2325

Mailing address

5247 Reisterstown Rd Fl 1
Baltimore, MD 21215-5018

Phone 240-475-2325

Authorized official

Terri Fields
Credentialing Consultant
4435676120

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