Basic Information
| Provider Information | |||||||||
| NPI: | 1073775300 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHOICES, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 E NORTHERN LIGHTS BLVD | ||||||||
| Address2: | STE 100 | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995032814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073334343 | ||||||||
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| Practice Location | |||||||||
| Address1: | 401 E NORTHERN LIGHTS BLVD | ||||||||
| Address2: | STE 100 | ||||||||
| City: | ANCHORAGE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 995032814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9073334343 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2008 | ||||||||
| LastUpdateDate: | 06/27/2008 | ||||||||
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| AuthorizedOfficialLastName: | MUSANT | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 9073334343 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| AuthorizedOfficialCredential: | MA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251B00000X | Y | Agencies | Case Management |
No ID Information.