Provider Demographics
NPI:1255025599
Name:A JOURNI WITHIN LLC
Entity type:Organization
Organization Name:A JOURNI WITHIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-258-0820
Mailing Address - Street 1:1350 BROOKGREEN WAY
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-6300
Mailing Address - Country:US
Mailing Address - Phone:904-258-0820
Mailing Address - Fax:
Practice Address - Street 1:1350 BROOKGREEN WAY
Practice Address - Street 2:
Practice Address - City:FLEMING ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32003-6300
Practice Address - Country:US
Practice Address - Phone:904-258-0820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services