| Choice Clinical Services, Llc | |
|
111 Centerway Suite 202 Greenbelt MD 20770-1808 | |
| (240) 670-4050 | |
| Not Available |
| Full Name | Choice Clinical Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 111 Centerway, Greenbelt, Maryland |
| Authorized Official Name and Position | Taylor Cole (OWNER/THERAPIST) |
| Authorized Official Contact | 2406704050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Clinical Services, Llc 125 Lakeside Dr Greenbelt MD 20770-1905 Ph: () - | Choice Clinical Services, Llc 111 Centerway Suite 202 Greenbelt MD 20770-1808 Ph: (240) 670-4050 |
| NPI Number | 1205257524 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205257524 | NPI | - | NPPES |
| 2564050 00 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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