Sovereign Journey L3c
NPI #1366781866 in Bethlehem, New Hampshire
Provider Information
- NPI Number
- 1366781866
- Entity Type
- Organization
- Organization Name
- Sovereign Journey L3c
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Feb 5, 2013
- Last Updated
- Feb 5, 2013
Practice Location
- Address
- 2444 MAIN ST
- City
- Bethlehem
- State
- New Hampshire
- ZIP Code
- 03574-4916
- Phone
- (603) 869-7318
Authorized Official
- Name
- KAREN E. FITZHUGH, PH.D
- Title
- EXECUTIVE DIRECTOR
- Phone
- (603) 869-7318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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