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Contact Information

2ND CHANCE MENTAL HEALTH CENTER, LLC
1250 SE PORT ST LUCIE BLVD STE C
PORT SAINT LUCIE, FL34952-5385
 Phone: 772-249-0880
 Fax: 772-249-0881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for 2ND CHANCE MENTAL HEALTH CENTER, LLC

NPI Number 1447554019
LBN Legal business name 2ND CHANCE MENTAL HEALTH CENTER, LLC
Authorized official JEAN LARSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2010
Last updated 12/22/2010 - About 15 years ago
Identifiers
FL License # 1956AD422201
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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