OrganizationActive
A Broad Journey Intervention
NPI 1942659990 · Foster Care Agency · Phoenix, AZ
Provider details
- NPI number
- 1942659990
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Latanya King, Ceo(602) 488-0135
Specialties & taxonomies
Agencies
Practice location
619 W Beautiful Ln
Phoenix, AZ 85041-8050
Phone: (602) 488-0135
Fax: (602) 314-6073
Approximate (ZIP-level) locationGet directions
Mailing address
6216 S 36th St
Phoenix, AZ 85042-4904
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2016-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.