Provider Demographics
NPI:1407130982
Name:CHOSEN JAY INC.
Entity Type:Organization
Organization Name:CHOSEN JAY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SADIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-736-8411
Mailing Address - Street 1:11214 SANDSTONE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2902
Mailing Address - Country:US
Mailing Address - Phone:281-736-8411
Mailing Address - Fax:713-270-6413
Practice Address - Street 1:11214 SANDSTONE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2902
Practice Address - Country:US
Practice Address - Phone:281-736-8411
Practice Address - Fax:713-270-6413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health