| Organization Name: | SUCCESSFUL JOURNEYS, LLC |
| NPI Number: | 1013141407 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SEKOU JACKSON (CAO/CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 4434 N 153rd Ln Goodyear |
| State: | AZ US |
| Postal Code: | 853956302 |
| Phone Number: | 6235351239 |
| Fax Number: | 6235351406 |
| NPI Enumeration Date: | 05/13/2009 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | BH3254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |