| Chosen Behavioral Home, Llc | |
|
15639 N Verde St Surprise AZ 85378-4168 | |
| (623) 248-4100 | |
| Not Available |
| Full Name | Chosen Behavioral Home, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 15639 N Verde St, Surprise, Arizona |
| Authorized Official Name and Position | Sab Edwards (OWNER) |
| Authorized Official Contact | 4802416853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chosen Behavioral Home, Llc 15639 N Verde St Surprise AZ 85378-4168 Ph: (480) 241-6853 | Chosen Behavioral Home, Llc 15639 N Verde St Surprise AZ 85378-4168 Ph: (623) 248-4100 |
| NPI Number | 1962181024 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 05/25/2024 |
| Certification Date | 05/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962181024 | NPI | - | NPPES |
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