Organization
YOUR CHOICE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM GIBSON SR. (VICE PRESIDENT)
(919) 889-0012
Entity
Organization
Contact information
Practice address
3824 BARRETT DR, SUITE 105, RALEIGH, NC 27609-7220
(919) 889-0012
(919) 786-4948
Mailing address
3824 BARRETT DR, SUITE 105, RALEIGH, NC 27609-7220
(919) 889-0012
(919) 786-4948
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
MHL092673
NC
Other
Enumeration date
03/22/2007
Last updated
06/18/2013
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