| NPI | 1386127363 |
|---|---|
| Doing Business As | CHOICE HOUSE IOP |
| Entity Type | Organization |
| Authorized Contact | JORDAN R HAMILTON Executive Director 209-485-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |