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NPI 1861091522

NPI 1861091522 : CHOICE INTEGRATED HEALTHCARE : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1861091522
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHOICE INTEGRATED HEALTHCARE 
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Dates
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    Enumeration Date     |    10/22/2020
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    1600 BUSH ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21230-2021
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    Country              |    US
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    Telephone            |    410-304-6670
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    Fax                  |    410-304-6675
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Provider Business Mailing Address
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    Address Line         |    1600- 1608 BUSH ST 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21230-2021
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    Country              |    US
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    Telephone            |    410-304-6670
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    Fax                  |    410-304-6675
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JOEL  NORFLEET 
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    Credential           |    OWNER
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    Telephone            |    443-845-0902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #9
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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