| Choose To B, Llc | |
|
405 S Locust St Malden IL 61337-9435 | |
| (815) 915-3054 | |
| Not Available |
| Full Name | Choose To B, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 405 S Locust St, Malden, Illinois |
| Authorized Official Name and Position | Michael Miroux (CO-OWNER) |
| Authorized Official Contact | 8159153054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choose To B, Llc 1004 N Hushaw Ave Chillicothe IL 61523-1439 Ph: (815) 915-3054 | Choose To B, Llc 405 S Locust St Malden IL 61337-9435 Ph: (815) 915-3054 |
| NPI Number | 1750920062 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 01/03/2020 |
| Certification Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750920062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |