Provider Demographics
NPI:1235362161
Name:DANIEL'S CHOICES YOUTH DEVELOPMENT, INC.
Entity Type:Organization
Organization Name:DANIEL'S CHOICES YOUTH DEVELOPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:252-717-5331
Mailing Address - Street 1:PO BOX 1203
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-1031
Mailing Address - Country:US
Mailing Address - Phone:252-566-7591
Mailing Address - Fax:252-566-7591
Practice Address - Street 1:525 ARBA JASON RD.
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:NC
Practice Address - Zip Code:28551
Practice Address - Country:US
Practice Address - Phone:252-566-7591
Practice Address - Fax:252-566-7591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health