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1760390546 NPI number — CHANCEWELL BEHAVIORAL HEALTH LLC

NPI Number: 1760390546
Health Care Provider/Practitioner: CHANCEWELL BEHAVIORAL HEALTH LLC

Information about “1760390546” NPI (CHANCEWELL BEHAVIORAL HEALTH LLC) exists in 1760390546 in HTML format HTML  |  1760390546 in plain Text format TXT  |  1760390546 in PDF (Portable Document Format) PDF  |  1760390546 in an XML format XML  formats.

NPI Number : 1760390546 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760390546",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHANCEWELL BEHAVIORAL HEALTH LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2918 AVENUE I # 5352",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11210-2935",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "8718 PARTRIDGE CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROSHARON",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77583-5617",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-502-4227",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/31/2026",
    "LastUpdateDate": "08/31/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ALABI-AJIDAGBA",
    "AuthorizedOfficialFirstName": "YUSUFF",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PROGRAM DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "718-502-4227",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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