Provider Demographics
NPI:1609452895
Name:G&M'S JOURNEY, LLC
Entity type:Organization
Organization Name:G&M'S JOURNEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORI
Authorized Official - Middle Name:
Authorized Official - Last Name:BINE CALLAGY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-978-7305
Mailing Address - Street 1:33 STOCKTON RD
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1211
Mailing Address - Country:US
Mailing Address - Phone:201-978-7305
Mailing Address - Fax:
Practice Address - Street 1:3562 NJ-27
Practice Address - Street 2:122
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824
Practice Address - Country:US
Practice Address - Phone:732-854-4818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services