| Long Journey Transition Homes | |
|
12820 N 24th St Phoenix AZ 85032-6902 | |
| (213) 425-5479 | |
| Not Available |
| Full Name | Long Journey Transition Homes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12820 N 24th St, Phoenix, Arizona |
| Authorized Official Name and Position | Marshea Green (ADMINISTRATOR) |
| Authorized Official Contact | 2134255479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Journey Transition Homes 3104 E Camelback Rd # 2486 Phoenix AZ 85016-4502 Ph: (213) 425-5479 | Long Journey Transition Homes 12820 N 24th St Phoenix AZ 85032-6902 Ph: (213) 425-5479 |
| NPI Number | 1013780907 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013780907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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