OrganizationActive
1st Choice Residential LLC
NPI 1972023711 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Longview, TX
Provider details
- NPI number
- 1972023711
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Kristy Duffie, Executive Director
Practice location
500 S Jean Dr
Longview, TX 75602-5343
Phone: (903) 471-0589
Fax: (903) 708-6217
Mailing address
500 S Jean Dr
Longview, TX 75602-5343
Registry dates
- Enumerated
- 2017-06-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.