Organization
CHOOSE TO B, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MIROUX LCPC (CO-OWNER)
(815) 915-3054
Entity
Organization
Contact information
Practice address
405 S LOCUST ST, MALDEN, IL 61337-9435
(815) 915-3054
Mailing address
1004 N HUSHAW AVE, CHILLICOTHE, IL 61523-1439
(815) 915-3054
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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