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General NPI Number Information
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NPI Number | 1598788465
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Entity Type | Organization
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Legal Business Name | JOURNEY TO FREEDOM INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1349 S OTSEGO AVE SUITE 2
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City | GAYLORD
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State | MI
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Zip | 49735-9170
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Country | US
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Telephone | 989-705-2343
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Fax | 989-732-8270
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Provider Business Mailing Address
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Address Line | PO BOX 594
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City | GAYLORD
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State | MI
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Zip | 49734-0594
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Country | US
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Telephone | 989-705-2343
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Fax | 989-732-8270
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. VIOLET M. LUEBS
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Credential | LLMSW
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Telephone | 989-705-2343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L867614
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License Number State | MI
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