NPI 1003180746

Successful Journeys Day Program, LLC

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) Avondale, AZ

Practice location

Address: 9950 W van Buren St B135, Avondale, AZ 85323-5322
Phone: (623) 478-9400
Fax: (623) 478-9500

Authorised official

Name: Sekou Jackson
Title: Clinical Director/Coo
Phone: (623) 478-9400

Registered specialties

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence BH3967 (AZ)

Other Clinic/Center providers in Arizona →

Registry record

NPI: 1003180746
Entity type: Organization
NPI issued: 27 Feb 2012
Record last updated: 27 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.