Provider Demographics
NPI:1235821935
Name:ONE CHOICE AWAY
Entity Type:Organization
Organization Name:ONE CHOICE AWAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CDCA II
Authorized Official - Phone:937-776-3882
Mailing Address - Street 1:1859 N CENTRAL DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2011
Mailing Address - Country:US
Mailing Address - Phone:193-777-6388
Mailing Address - Fax:
Practice Address - Street 1:4130 LINDEN AVE STE 350
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45432-3065
Practice Address - Country:US
Practice Address - Phone:937-776-3882
Practice Address - Fax:877-640-7911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty