Provider Demographics
NPI:1366040123
Name:CHOICE BUSINESS STRATEGIES LLC
Entity Type:Organization
Organization Name:CHOICE BUSINESS STRATEGIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IDOTEYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SODIMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-326-0312
Mailing Address - Street 1:29400 N 123RD GLN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-4096
Mailing Address - Country:US
Mailing Address - Phone:623-326-0312
Mailing Address - Fax:
Practice Address - Street 1:29400 N 123RD GLN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-4096
Practice Address - Country:US
Practice Address - Phone:623-326-0312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility