- Practice location
- 619 W Beautiful Ln, Phoenix, AZ 85041-8050
- Phone
- 602-488-0135
- Fax
- 602-314-6073
- Last updated
- June 10, 2016
A Broad Journey Intervention is a healthcare organization based in Phoenix, AZ. A Broad Journey Intervention practices in Phoenix, AZ. The NPI Number for A Broad Journey Intervention is 1942659990. The current practice location address for A Broad Journey Intervention is 619 W Beautiful Ln, Phoenix, AZ 85041-8050 and can be reached out via phone at 602-488-0135 and via fax at 602-314-6073.
Provider Profile Details
- NPI Number
- 1942659990
- Provider Name
- A Broad Journey Intervention
- Provider Entity Type
- Organization
- Address
- 619 W Beautiful Ln, Phoenix, AZ 85041-8050
- Phone Number
- 602-488-0135
- Fax Number
- 602-314-6073
- Primary Taxonomy
- Foster Care Agency · 253J00000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Latanya King, MAED · Ceo · 602-488-0135
- Provider Enumeration Date
- June 10, 2016
- Last Update Date
- June 10, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 619 W Beautiful Ln
Phoenix, AZ 85041-8050 - City
- Phoenix
- State
- Arizona
- Zip
- 85041-8050
- Phone Number
- 602-488-0135
- Fax Number
- 602-314-6073
Provider Business Mailing Address Details
- Address
- 6216 S 36TH St
Phoenix, AZ 85042-4904 - City
- Phoenix
- State
- AZ
- Zip
- 85042-4904
- Phone Number
- 602-488-0135
- Fax Number
- 602-314-6073
License Information
- Taxonomy
- Foster Care Agency · 253J00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of A Broad Journey Intervention?
The NPI number of A Broad Journey Intervention is 1942659990. It was assigned on June 10, 2016 and is currently active in the NPPES registry.
What is the specialty of A Broad Journey Intervention?
A Broad Journey Intervention is registered under the primary taxonomy Foster Care Agency (code 253J00000X).
Where does A Broad Journey Intervention practice?
The practice location is 619 W Beautiful Ln, Phoenix, AZ 85041-8050. The office can be reached at 602-488-0135 (phone) or 602-314-6073 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942659990 directly on the NPPES registry website.