NPI | 1912652652 |
---|---|
Doing Business As | SUCCESSFUL JOURNEYS IV |
Entity Type | Organization |
Authorized Contact | SEKOU JACKSON Program Coordinator 623-293-7792 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-02-21 |