| Organization Name: | PRIMARY HEALTH CHOICE, INC. |
| NPI Number: | 1548396575 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THAD JUNIOR DAVIS (DIRECTOR) |
| Mailing Address: | 22421 Andrew Jackson Hwy Maxton |
| State: | NC US |
| Postal Code: | 283646721 |
| Phone Number: | 9108442008 |
| Fax Number: | 9108444002 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 11/07/2007 |
| 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: | |