NPI 1306539226

Choice Recovery House

Organisation General Practice Physician Newark, DE

Practice location

Address: 100 Biddle Ave STE 101, Newark, DE 19702-3982
Phone: (410) 505-8605
Fax: (240) 770-0436
Mailing address: 9123 Old Annapolis Rd STE 203&204, Columbia, MD 21045-1953

Authorised official

Name: Tristan J Shockley
Title: Ceo/Owner
Phone: (202) 489-1125

Registered specialties (3)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Delaware →

Addiction Medicine (Preventive Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X

Other Preventive Medicine providers in Delaware →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Delaware →

Registry record

NPI: 1306539226
Entity type: Organization
NPI issued: 26 May 2023
Record last updated: 3 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.