Organization
SUCCESSFUL JOURNEYS DAY PROGRAM, LLC
Active
Other names
Successful Journeys Day Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEKOU JACKSON MPA, CPM (CLINICAL DIRECTOR/COO)
(623) 478-9400
Entity
Organization
Contact information
Practice address
9950 W VAN BUREN ST, B135, AVONDALE, AZ 85323-5322
(623) 478-9400
(623) 478-9500
Mailing address
9950 W VAN BUREN ST, B135, AVONDALE, AZ 85323-5322
(623) 478-9400
(623) 478-9500
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
BH3967
AZ
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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