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Organization

ALTA FIRST CHOICE, INC

Active
Other names
ALTA FIRST CHOICE, INC
Organization subpart
No

Provider details

NPI number
Authorized official
HANNAH DIBONGE (CEO)
(240) 506-1728
Entity
Organization

Contact information

Practice address
101 LAKEFOREST BLVD STE 250, GAITHERSBURG, MD 20877-2633
(240) 801-9818
Mailing address
21506 MANOR VIEW CIR, GERMANTOWN, MD 20876-5924
(240) 506-1728

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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