Provider Demographics
NPI:1891325601
Name:CHOICE UNLIMITED, LLC
Entity Type:Organization
Organization Name:CHOICE UNLIMITED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DIERRE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIKAHA
Authorized Official - Suffix:
Authorized Official - Credentials:MLPC, MFT, FN, CAC 1
Authorized Official - Phone:202-313-8812
Mailing Address - Street 1:5001 SILVER HILL RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-5208
Mailing Address - Country:US
Mailing Address - Phone:202-313-8812
Mailing Address - Fax:
Practice Address - Street 1:5001 SILVER HILL RD STE 104
Practice Address - Street 2:
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-5208
Practice Address - Country:US
Practice Address - Phone:202-313-8812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone