Provider Demographics
NPI:1255521464
Name:JOURNEY, INC.
Entity type:Organization
Organization Name:JOURNEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HAFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-532-7446
Mailing Address - Street 1:PO BOX 562563
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28256-2563
Mailing Address - Country:US
Mailing Address - Phone:704-926-5030
Mailing Address - Fax:704-927-0482
Practice Address - Street 1:3500 ELLINGTON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1102
Practice Address - Country:US
Practice Address - Phone:704-926-5030
Practice Address - Fax:704-927-0482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health