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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