Organization
PERSONAL CHOICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE M BOWEN (VICE PRESIDENT)
(812) 946-3812
Entity
Organization
Contact information
Practice address
2010 CHERRY HILL CT, JEFFERSONVILLE, IN 47130-6743
(502) 718-0536
Mailing address
2010 CHERRY HILL CT, JEFFERSONVILLE, IN 47130-6743
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021130
—
IN
Enumeration date
06/26/2018
Last updated
03/28/2022
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