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Contact Information

CHOICE RECOVERY HOUSE
100 BIDDLE AVE STE 101
NEWARK, DE19702-3982
 Phone: 410-505-8605
 Fax: 240-770-0436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for CHOICE RECOVERY HOUSE

NPI Number 1306539226
LBN Legal business name CHOICE RECOVERY HOUSE
Authorized official TRISTAN SHOCKLEY - (CEO/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2023
Last updated 07/03/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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