Provider Demographics
NPI:1710454699
Name:FIRST CHOICE BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:FIRST CHOICE BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:NADIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-929-4793
Mailing Address - Street 1:17 WARREN RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5001
Mailing Address - Country:US
Mailing Address - Phone:410-929-4793
Mailing Address - Fax:
Practice Address - Street 1:17 WARREN RD STE 1-A&1B
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5334
Practice Address - Country:US
Practice Address - Phone:410-929-4793
Practice Address - Fax:410-779-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health