Organization
SUCCESSFUL JOURNEYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AGYAPONG (CEO)
(615) 310-6325
Entity
Organization
Contact information
Practice address
4434 N 153RD LN, GOODYEAR, AZ 85395-6302
(623) 535-1239
(623) 535-1406
Mailing address
12224 N 45TH LN, GLENDALE, AZ 85304-2312
(623) 293-8022
(602) 693-0628
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH3254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430383
—
AZ
Enumeration date
05/13/2009
Last updated
12/19/2023
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