Organization
CHOICE BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FOSTER (OWNER)
(352) 213-3261
Entity
Organization
Contact information
Practice address
3300 NW 30TH AVE, GAINESVILLE, FL 32605-2716
(352) 213-3261
Mailing address
3300 NW 30TH AVE, GAINESVILLE, FL 32605-2716
(352) 213-3261
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689281796
—
FL
Enumeration date
05/26/2016
Last updated
05/26/2016
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