Healthcare Provider Details

I. General information

NPI: 1033052048
Provider Name (Legal Business Name): JOURNEY BEHAVIORAL HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17150 NEWHOPE ST STE 509
FOUNTAIN VALLEY CA
92708-4253
US

IV. Provider business mailing address

19282 CORALWOOD LN
HUNTINGTON BEACH CA
92646-2624
US

V. Phone/Fax

Practice location:
  • Phone: 661-365-2182
  • Fax:
Mailing address:
  • Phone: 661-365-2182
  • Fax: 661-365-2182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BERTHA RUTH WUNDER
Title or Position: SECRETARY
Credential:
Phone: 661-365-2182