| NPI | 1811730492 |
|---|---|
| Doing Business As | FIRST CHOICE HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | TARA LAFOLLETTE Credentialing Representative 309-852-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-25 |