Provider Demographics
NPI:1306366679
Name:FIRST CHOICE SERVICES
Entity Type:Organization
Organization Name:FIRST CHOICE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-356-5831
Mailing Address - Street 1:1 HILLCREST DR E STE 400
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25311-1651
Mailing Address - Country:US
Mailing Address - Phone:304-356-5831
Mailing Address - Fax:304-356-5845
Practice Address - Street 1:1 HILLCREST DR E STE 400
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25311-1651
Practice Address - Country:US
Practice Address - Phone:304-356-5831
Practice Address - Fax:304-356-5845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty