Chronicles of Success Recovery Services LLC
Chronicles of Success Recovery Services LLC is a Meals Provider in Medford, Oregon. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3140 Juanipero Way Ste 101Medford, OR 97504-8647
Phone: (541) 508-0336
Fax: (541) 508-0330
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Lodging Provider | Taxonomy 177F00000X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Substance Use Disorder Rehabilitation Clinic/Center | Taxonomy 261QR0405X |
Record details
| NPI number | 1629801543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donique Boazeman — Owner/Administrator · (313) 977-2767 |
| NPI enumerated | August 26, 2024 |
| Last updated in NPPES | June 3, 2025 |
| Certification date | June 3, 2025 |
| Mailing address | 5441 S Macadam Ave Ste N, Portland, OR 97239-6106 |