Journey of Life Transformation
Journey of Life Transformation is a Community/Behavioral Health Agency in Winston Salem, North Carolina. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 7
Practice location Address checks out
178 S Peace Haven RdWinston Salem, NC 27104-4439
Phone: (336) 995-1418
Fax: (336) 448-5386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
| Assisted Living Facility (Mental Illness) | Taxonomy 3104A0625X |
| Assisted Living Facility (Behavioral Disturbances) | Taxonomy 3104A0630X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X |
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1043099757 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kimberly Neal — Owner/Executive Director · (336) 995-1418 |
| Other names | Jolt Support Services |
| NPI enumerated | September 22, 2023 |
| Last updated in NPPES | September 22, 2023 |
| Certification date | September 22, 2023 |
| Mailing address | 178 S Peace Haven Rd, Winston Salem, NC 27104-4439 |
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