| Organization Name: | PRIMARY HEALTH CHOICE INC |
| NPI Number: | 1295817211 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THAD J DAVIS (DIRECTOR) |
| Mailing Address: | 121 S 5th St Ste B Saint Pauls |
| State: | NC US |
| Postal Code: | 283841573 |
| Phone Number: | 9108658280 |
| Fax Number: | 9108658281 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |