Organization
NEW JOURNEY RESIDENTIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIARA GRAHAM (OWNER)
(602) 583-5714
Entity
Organization
Contact information
Practice address
8135 N 35TH AVE APT 2097, PHOENIX, AZ 85051-5886
(602) 583-5714
Mailing address
8135 N 35TH AVE APT 2097, PHOENIX, AZ 85051-5886
(602) 583-5714
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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