Organization
2ND CHANZS
Active
Organization
2ND CHANZS
Active
Parent organization
SUCCESSFUL JOURNEYS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUCCESSFUL JOURNEYS
Authorized official
MR. SEKOU JACKSON MPA, CPM (EXECUTIVE DIRECTOR)
(623) 478-9400
Entity
Organization
Contact information
Practice address
1214 E JEN DR, FLAGSTAFF, AZ 86001-0757
(623) 478-9400
Mailing address
9950 W VAN BUREN ST, SUITE B135, AVONDALE, AZ 85323-5322
(623) 478-9400
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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