NPI 1942659990
A Broad Journey Intervention
Practice location
- Address
- 619 W Beautiful Ln, Phoenix, AZ 85041-8050
- Phone
- (602) 488-0135
- Fax
- (602) 314-6073
- Mailing address
- 6216 S 36th St, Phoenix, AZ 85042-4904
Authorised official
- Name
- Latanya King
- Title
- Ceo
- Phone
- (602) 488-0135
Registered specialties
Foster Care Agency
Primary
Registry record
- NPI
- 1942659990
- Entity type
- Organization
- NPI issued
- 10 Jun 2016
- Record last updated
- 10 Jun 2016
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.