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Contact Information

2ND CHANCE REDISCOVERY
1851 SHOSHONE DR
BISHOP, CA93514-8115
 Phone: 171-447-8204
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Case Management

251B00000X
 

Graphics Designer

1744G0900X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for 2ND CHANCE REDISCOVERY

NPI # 1629704184
LBN Legal business name 2ND CHANCE REDISCOVERY
Authorized official KAITLIN CROM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/27/2022
Last updated 07/27/2022 - About 4 years ago
Identifiers n/a
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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