Organization
CHOICES ADOLESCENT TREATMENT CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNE DAVIES (OWNER)
(903) 938-4455
Entity
Organization
Contact information
Practice address
4521 KARNACK HWY, MARSHALL, TX 75672-8734
(903) 938-4455
(903) 938-8906
Mailing address
4521 KARNACK HWY, MARSHALL, TX 75672-8734
(903) 938-4455
(903) 938-8906
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065300801
—
TX
Enumeration date
02/14/2007
Last updated
01/26/2011
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