Healthcare Provider Details

I. General information

NPI: 1407430309
Provider Name (Legal Business Name): POINT OF CHOICE BEHAVIORAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2021
Last Update Date: 09/29/2022
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 N ARIZONA AVE STE 2
CHANDLER AZ
85225-7198
US

IV. Provider business mailing address

1819 N SINOVA
MESA AZ
85205-3446
US

V. Phone/Fax

Practice location:
  • Phone: 480-544-2877
  • Fax:
Mailing address:
  • Phone: 480-544-2877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PATRICK HOEFFEL
Title or Position: CEO
Credential:
Phone: 480-544-2877