Journey Counseling Center Provo LLC

NPI #1811319502 in Provo, Utah

Provider Information

NPI Number: 1811319502
Entity Type: Organization
Organization Name: Journey Counseling Center Provo LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THE JOURNEY
Primary Specialty: Foster Care Agency
Enumeration Date: Jan 14, 2014
Last Updated: Jan 14, 2014

Practice Location

Address: 619 N 500 W
City: Provo
State: Utah
ZIP Code: 84601-1547
Phone: (801) 375-4240

Authorized Official

Name: VICKI GOODMAN
Title: QUALITY ASSURANCE DIRECTOR
Phone: (801) 785-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Foster Care Agency	253J00000X	Primary

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