Provider Demographics
NPI:1417353814
Name:MY CHOICE PROGRAMS, INC.
Entity Type:Organization
Organization Name:MY CHOICE PROGRAMS, INC.
Other - Org Name:INDEPENDENT LIVING FOR ADULTS WITH SPECIAL NEEDS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERET
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:508-832-3110
Mailing Address - Street 1:781 SOUTHBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1336
Mailing Address - Country:US
Mailing Address - Phone:508-832-3110
Mailing Address - Fax:508-832-3107
Practice Address - Street 1:781 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1336
Practice Address - Country:US
Practice Address - Phone:508-832-3110
Practice Address - Fax:508-832-3107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-12
Last Update Date:2014-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA200471251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health