Organization
CHOSEN BEHAVIORAL HOME, LLC
Active
Organization
CHOSEN BEHAVIORAL HOME, LLC
Active
Other names
CHOSEN BEHAVIORAL HOME
Organization subpart
No
Provider details
NPI number
Authorized official
SAB EDWARDS (OWNER)
(480) 241-6853
Entity
Organization
Contact information
Practice address
15639 N VERDE ST, SURPRISE, AZ 85378-4168
(623) 248-4100
Mailing address
15639 N VERDE ST, SURPRISE, AZ 85378-4168
(480) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/17/2023
Last updated
05/25/2024
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