| Organization Name: | CHOICES COUNSELING & RESOURCE CENTER PA |
| NPI Number: | 1114010055 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOANNA H REFVEM (OWNER) |
| Mailing Address: | 201 N Main St Ste 300 Mount Airy |
| State: | NC US |
| Postal Code: | 270303867 |
| Phone Number: | 3367862053 |
| Fax Number: | 3367862198 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 0100005M |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |