Organization Name: | PEACEFUL JOURNEY |
NPI Number: | 1376985085 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI LYNN (OWNER) |
Mailing Address: | 328 Changebridge Road Montville |
State: | NJ US |
Postal Code: | 07045 |
Phone Number: | 9084551058 |
Fax Number: | 8888340604 |
NPI Enumeration Date: | 07/23/2013 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00330000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |