Healthcare Provider Details

I. General information

NPI: 1679485163
Provider Name (Legal Business Name): A JOURNEY TO RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

543 RIVERSIDE DR STE B
SALISBURY MD
21801-5368
US

IV. Provider business mailing address

543 RIVERSIDE DR STE B
SALISBURY MD
21801-5368
US

V. Phone/Fax

Practice location:
  • Phone: 302-589-8183
  • Fax:
Mailing address:
  • Phone: 302-589-8183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHEMIEKA JONES
Title or Position: CEO
Credential:
Phone: 302-589-8183