Organization
SUCCESSFUL JOURNEYS, LLC
Active
Other names
Successful Journeys V
Organization subpart
No
Provider details
NPI number
Authorized official
SEKOU JACKSON MA, MPA (PROGRAM COORDINATOR)
(623) 293-7792
Entity
Organization
Contact information
Practice address
1518 W COMSTOCK DR, CHANDLER, AZ 85224-1855
(623) 293-8022
(602) 693-0628
Mailing address
20969 W THOMAS RD, BUCKEYE, AZ 85396-1645
(623) 293-7792
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518
—
AZ
Enumeration date
02/24/2022
Last updated
02/24/2022
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