Healthcare Provider Details

I. General information

NPI: 1033672852
Provider Name (Legal Business Name): FIRST CHOICE BEHAVIORAL HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9199 REISTERSTOWN RD STE 105B
OWINGS MILLS MD
21117-4513
US

IV. Provider business mailing address

17 WARREN RD STE 1A
PIKESVILLE MD
21208-5001
US

V. Phone/Fax

Practice location:
  • Phone: 410-989-9922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3245S0500X
TaxonomyChildren's Substance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: NADIA SURIN
Title or Position: MANAGING OWNER
Credential:
Phone: 410-989-9922