Provider Demographics
NPI:1346438264
Name:FIRST JOURNEYS INCLUSIVE PRESCHOOL
Entity Type:Organization
Organization Name:FIRST JOURNEYS INCLUSIVE PRESCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, DEVELOPMENTAL SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:ADAMS
Authorized Official - Last Name:MEARES
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, ITFS
Authorized Official - Phone:919-637-5201
Mailing Address - Street 1:1401 SITTERSON DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-9688
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1401 SITTERSON DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-9688
Practice Address - Country:US
Practice Address - Phone:919-637-5201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300157Medicaid