Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHANTALLAN BAZILE
Active Sole ProprietorCHANTALLAN BAZILE is a Behavioral Health, Residential healthcare provider located in ELIZABETH, New Jersey. NPI 1235949389 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · ELIZABETH, NJ
Registration Details
- NPI Number
- 1235949389
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 10, 2025 (1.6055154544894 yrs)
- Last Updated
- Jan 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 N BROAD ST # 309ELIZABETH, NJ, 072083705Browse NJ providers · Browse ZIP 07208
- Phone
- 8623899079
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Foster Care Agency
- Additional Specialty
- Assisted Living Facility
- Additional Specialty
- Behavioral Health, Residential
Other Behavioral Health, Residential Providers in ELIZABETH, NJ
| Name | Credential | NPI |
|---|---|---|
| JULIA LIRA MOHAMED | — | 1205706280 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.