Provider Demographics
NPI:1619385911
Name:BBAND T, INC.
Entity Type:Organization
Organization Name:BBAND T, INC.
Other - Org Name:JOURNEY HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TEMPA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RASNICK
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:276-865-2186
Mailing Address - Street 1:5168 DICKENSON HWY
Mailing Address - Street 2:
Mailing Address - City:CLINTWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24228-6001
Mailing Address - Country:US
Mailing Address - Phone:276-926-4681
Mailing Address - Fax:
Practice Address - Street 1:5168 DICKENSON HWY
Practice Address - Street 2:
Practice Address - City:CLINTWOOD
Practice Address - State:VA
Practice Address - Zip Code:24228-6001
Practice Address - Country:US
Practice Address - Phone:276-926-4681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities