Organization
CHOICEPOINT MT LLC
Active
Organization
CHOICEPOINT MT LLC
Active
Parent organization
CHOICEPOINT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOICEPOINT LLC
Authorized official
RYAN KACZKA (MBMR)
(908) 948-8802
Entity
Organization
Contact information
Practice address
1601 2ND AVE N STE 535, GREAT FALLS, MT 59401-3255
(908) 948-8802
Mailing address
6586 ATLANTIC AVE # 4872, DELRAY BEACH, FL 33446-1617
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/08/2022
Last updated
10/14/2022
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