| NPI | 1770962623 |
|---|---|
| Doing Business As | A CHOSEN HOME |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA YVETTE GOODIE Owner 469-471-8604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |