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Organization
SELECTIVE CHOICES FOR SERVICES, INC.
Active
Organization
SELECTIVE CHOICES FOR SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCHESTER C. DAMON JR. QMHP (CLINICAL DIRECTOR)
(336) 971-6535
Entity
Organization
Contact information
Practice address
1001 SOUTH MARSHALL STREET, BOX 8, WINSTON-SALEM, NC 27101-5401
(336) 723-4222
(336) 723-4238
Mailing address
1001 SOUTH MARSHALL STREET, BOX 8, WINSTON-SALEM, NC 27101-5401
(336) 723-4222
(336) 723-4238
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300508
—
NC
Enumeration date
12/04/2006
Last updated
07/21/2022
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