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Organization
CHOICES INTEGRATED HEALTHCARE
Active
Organization
CHOICES INTEGRATED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY SMITH (PROGRAM DIRECTOR)
(410) 304-6670
Entity
Organization
Contact information
Practice address
1600 - 1608 BUSH STREET, BALTIMORE, MD 21230-2021
(410) 304-6670
(410) 304-6675
Mailing address
1600- 1608 BUSH ST, BALTIMORE, MD 21230-2021
(410) 304-6670
(410) 304-6675
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200910125
WITHDRAWAL MANAGEMENT SERVICE
MD
Enumeration date
03/10/2021
Last updated
05/14/2021
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