Organization
CHOICES FAMILY SERVICES LLC
Active
Organization
CHOICES FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN EDWARD HAIRSTON (CEO/DIRECTOR)
(276) 403-4740
Entity
Organization
Contact information
Practice address
133 E MARKET ST, SUITE 102, MARTINSVILLE, VA 24112-3738
(276) 403-4740
Mailing address
133 E. MARKET STREET, SUITE 102, MARTINSVILLE, VA 24112-3740
(276) 403-4740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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