Healthcare Provider Details

I. General information

NPI: 1053152389
Provider Name (Legal Business Name): JOURNEE CONTINUES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024
Certification Date: 06/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GLYNN CT APT B7
DETROIT MI
48202-1431
US

IV. Provider business mailing address

100 GLYNN CT APT B7
DETROIT MI
48202-1431
US

V. Phone/Fax

Practice location:
  • Phone: 313-246-9280
  • Fax:
Mailing address:
  • Phone: 313-246-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TAMESHA N. LITTLE
Title or Position: CEO
Credential: CPRM, CPRC
Phone: 313-246-9280