Provider Demographics
NPI:1407234529
Name:PROJECT JOURNEY
Entity Type:Organization
Organization Name:PROJECT JOURNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:CIFELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:732-547-1876
Mailing Address - Street 1:99 GREEN GROVE AVENUE
Mailing Address - Street 2:# 43 A
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735
Mailing Address - Country:US
Mailing Address - Phone:732-547-1876
Mailing Address - Fax:
Practice Address - Street 1:99 GREEN GROVE AVE
Practice Address - Street 2:# 43 A
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-1964
Practice Address - Country:US
Practice Address - Phone:732-547-1876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251BOOOOOX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management