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Organization
CHOLLA BEHAVIORAL HEALTH LLC
Active
Organization
CHOLLA BEHAVIORAL HEALTH LLC
Active
Other names
Cholla Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERICHO CHEBULTZ (CEO)
(602) 686-5779
Entity
Organization
Contact information
Practice address
9201 N 25TH AVE STE 185, PHOENIX, AZ 85021-2717
(602) 686-5779
Mailing address
2020 W UNION HILLS DR UNIT 215, PHOENIX, AZ 85027-5816
(602) 686-5779
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/19/2022
Last updated
05/25/2023
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