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Organization
CHOICE RECOVERY HOUSE
Active
Organization
CHOICE RECOVERY HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN JULIAN SHOCKLEY (CEO)
(240) 786-1001
Entity
Organization
Contact information
Practice address
6615 REISTERSTOWN RD STE 307, BALTIMORE, MD 21215-2686
(410) 505-8605
(240) 770-0436
Mailing address
6615 REISTERSTOWN RD STE 307, BALTIMORE, MD 21215-2686
(410) 505-8605
(240) 770-0436
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
208D00000X
General Practice Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/26/2023
Last updated
09/22/2026
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