NPI | 1366040123 |
---|---|
Doing Business As | CHOICE WELLNESS |
Entity Type | Organization |
Authorized Contact | IDOTEYEN SODIMU Administrator 623-326-0312 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2020-10-14 |
Last Update Date | 2020-10-14 |