Provider Demographics
NPI:1104195841
Name:FIRST CHOICE FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JARRISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RORIE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:704-499-7847
Mailing Address - Street 1:2839 MAYFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-7023
Mailing Address - Country:US
Mailing Address - Phone:704-499-7847
Mailing Address - Fax:
Practice Address - Street 1:2839 MAYFLOWER RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-7023
Practice Address - Country:US
Practice Address - Phone:704-499-7847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health