Organization
COMMUNITY CHOICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY COUSAR (QUALIFIED PROFESSIONAL)
(919) 210-3774
Entity
Organization
Contact information
Practice address
3711 UNIVERSITY DR, SUITE C, DURHAM, NC 27707-2654
(919) 210-3774
Mailing address
3711 UNIVERSITY DR, SUITE C, DURHAM, NC 27707-2654
(919) 210-3774
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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