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Organization

SUCCESSFUL JOURNEYS, LLC

Active
Other names
Successful Journeys III
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID AGYAPONG MD (CEO)
(615) 310-6325
Entity
Organization

Contact information

Practice address
2106 W VISTA AVENUE, PHOENIX, AZ 85021
(623) 478-9400
(623) 478-9500
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

Other

Enumeration date
05/05/2017
Last updated
12/19/2023
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