Provider Demographics
NPI:1659696664
Name:CSJ ENTERPRISES, LLC
Entity Type:Organization
Organization Name:CSJ ENTERPRISES, LLC
Other - Org Name:JOURNEY TO WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOLF
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED REIKI PRAC
Authorized Official - Phone:920-849-9139
Mailing Address - Street 1:N3480 FOX STREET
Mailing Address - Street 2:
Mailing Address - City:CHILTON
Mailing Address - State:WI
Mailing Address - Zip Code:53014
Mailing Address - Country:US
Mailing Address - Phone:920-849-9139
Mailing Address - Fax:920-849-9139
Practice Address - Street 1:N3480 FOX STREET
Practice Address - Street 2:
Practice Address - City:CHILTON
Practice Address - State:WI
Practice Address - Zip Code:53014
Practice Address - Country:US
Practice Address - Phone:920-849-9139
Practice Address - Fax:920-849-9139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173C00000XOther Service ProvidersReflexologistGroup - Multi-Specialty