NPI 1689117327

Purposely Chosen, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Riverside, CA

Practice location

Address: 1410 3rd St Suite 2, Riverside, CA 92507-3482
Phone: (909) 471-0697
Fax: (760) 302-7607

Authorised official

Name: Dretona Tenese Maddox
Title: Executive Director
Phone: (909) 471-0697

Registered specialties (5)

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Case Management Agency

Agencies Taxonomy 251B00000X

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Nursing Care Agency

Agencies Taxonomy 251J00000X

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Public Health or Welfare Agency

Agencies Taxonomy 251K00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1689117327
Entity type: Organization
NPI issued: 29 Nov 2016
Record last updated: 11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.