Organization · NPI-2

1st Choice Profesional Services, INC

Community/Behavioral Health · Charlotte, NC

NPI number1316185663
StatusActive
Last updated in NPPESJan 24, 2009

Details

NPI
1316185663
Entity type
Organization (NPI-2)
Legal business name
1st Choice Profesional Services, INC
Organization subpart
No
Enumeration date
Jan 24, 2009
Last updated
Jan 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

9635 Southern Pine Blvd
Suite 112
Charlotte, NC 28273-5558

Phone 704-658-8682

Mailing address

9635 Southern Pine Blvd
Suite 112
Charlotte, NC 28273-5558

Phone 704-658-8682

Authorized official

Kristy J Shaw
Executive Director
7047375897

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