Successful Journeys Day Program, LLC

NPI #1003180746 in Avondale, Arizona

Provider Information

NPI Number: 1003180746
Entity Type: Organization
Organization Name: Successful Journeys Day Program, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 9950 W VAN BUREN ST
Address 2: B135
City: Avondale
State: Arizona
ZIP Code: 85323-5322
Phone: (623) 478-9400

Authorized Official

Name: MR. SEKOU JACKSON, MPA, CPM
Title: CLINICAL DIRECTOR/COO
Phone: (623) 478-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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