Organization
CAROLINA CHOICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA SIMON (BILLING OFFICER)
(252) 633-3855
Entity
Organization
Contact information
Practice address
114 N SPRUCE ST, WILSON, NC 27893-0000
(252) 234-0200
(252) 234-7140
Mailing address
PO BOX 12189, NEW BERN, NC 28561-2189
(252) 633-3855
(252) 633-1548
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/29/2008
Last updated
09/17/2010
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