Organization
CHOICE PAIN & REHABILITATION 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 (CEO)
(410) 505-8605
Entity
Organization
Contact information
Practice address
9123 OLD ANNAPOLIS RD STE 203-204, COLUMBIA, MD 21045-1953
(410) 505-8605
Mailing address
9133 OLD ANNAPOLIS RD, SUITE 203-204, 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
07/17/2026
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