Provider Demographics
NPI:1003296864
Name:CHEROKEE CHOICES
Entity Type:Organization
Organization Name:CHEROKEE CHOICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITION AND FITNESS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:BAILEY
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD,LDN,MHS
Authorized Official - Phone:828-359-6785
Mailing Address - Street 1:806 ACQUONI ROAD
Mailing Address - Street 2:CHEROKEE CHOICES
Mailing Address - City:CHEROKEE
Mailing Address - State:NC
Mailing Address - Zip Code:28719
Mailing Address - Country:US
Mailing Address - Phone:828-359-6785
Mailing Address - Fax:
Practice Address - Street 1:806 ACQUONI ROAD
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719
Practice Address - Country:US
Practice Address - Phone:828-359-6785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTERN BAND OF CHEROKEE INDIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-05
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL002182251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health