Organization · Type 2 NPI

Purposely Chosen, Inc.

Emotionally Disturbed Childrens' Residential Treatment Facility · Riverside, CA

NPI number 1689117327 Active

Practice location

1410 3rd St, Suite 2
Riverside, CA 92507-3482

Fax (760) 302-7607

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Nursing Care Agency	251J00000X	None listed
Public Health or Welfare Agency	251K00000X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Another provider at this address

Dretona Tenese Maddox, RN, PHN, LCSWClinical Social Worker Riverside, CA NPI 1417083643

Other emotionally disturbed childrens' residential treatment facility providers in Riverside

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NPI record

NPI: 1689117327
Entity type: Organization (Type 2)
Issued: Nov 29, 2016
Last updated: Aug 11, 2021
Status: Active

Other names

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Born for Nia Maternity Home · doing business as
Born for Nia Maternity Home · doing business as

Authorized official

Mrs. Dretona Tenese Maddox, RN
Executive Director
(909) 471-0697

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689117327

Purposely Chosen, Inc.'s National Provider Identifier is 1689117327, issued on Nov 29, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Riverside, CA. The record was last updated on Aug 11, 2021.