Organization
SUCCESSFUL JOURNEYS, LLC
Active
Other names
Successful Journeys IV
Organization subpart
No
Provider details
NPI number
Authorized official
SEKOU JACKSON MA, MPA (PROGRAM COORDINATOR)
(623) 293-7792
Entity
Organization
Contact information
Practice address
12224 N 45TH LN, GLENDALE, AZ 85304-2312
(623) 293-8022
(602) 693-0628
Mailing address
20969 W THOMAS RD, BUCKEYE, AZ 85396-1645
(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
02/21/2022
Last updated
02/21/2022
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