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Organization

CHOICE PAIN & REBABILITATION CENTER LLC

Active
Parent organization
CHOICE PAIN & REHABILITATION CENTER, LLC
Other names
Choice Recovery Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHOICE PAIN & REHABILITATION CENTER, LLC
Authorized official
TRISTAN J SHOCKLEY MD (MEDICAL DIRECTOR)
(240) 786-1001
Entity
Organization

Contact information

Practice address
9123 OLD ANNAPOLIS RD STE 203, COLUMBIA, MD 21045-1970
(410) 505-8605
Mailing address
9123 OLD ANNAPOLIS RD STE 203, COLUMBIA, MD 21045-1970
(410) 505-8605

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center

Other

Enumeration date
10/10/2019
Last updated
12/02/2022
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