{
"Npi": {
"NPI": "1245031616",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOURNEY 4 SUCCESS INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "68380 VERANO RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CATHEDRAL CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92234-6258",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-517-9025",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "68380 VERANO RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CATHEDRAL CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92234-6258",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-517-9025",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/21/2025",
"LastUpdateDate": "03/24/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MARTIROSYAN",
"AuthorizedOfficialFirstName": "DAVIT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "760-517-9025",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "324500000X",
"TaxonomyName": "Substance Abuse Rehabilitation Facility",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}