Provider Demographics
NPI:1154668416
Name:PREFERRED CHOICE
Entity Type:Organization
Organization Name:PREFERRED CHOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATIKA
Authorized Official - Middle Name:BOTSWANA
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-951-8423
Mailing Address - Street 1:1394 LANEY WALKER BLVD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901-2763
Mailing Address - Country:US
Mailing Address - Phone:706-951-8423
Mailing Address - Fax:706-737-1127
Practice Address - Street 1:1394 LANEY WALKER BLVD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2763
Practice Address - Country:US
Practice Address - Phone:706-951-8423
Practice Address - Fax:706-737-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health