SECOND CHANCE RESOURCE CENTER; NPI #1043079536

Contact Information

SECOND CHANCE RESOURCE CENTER

2105 ECHODALE AVE
BALTIMORE, MD 21214-1927

Phone: 202-902-3022
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]
Addiction (Substance Use Disorder)	101YA0400X
Air Carrier	344800000X

Indicates primary specialty

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NPI Profile & details for SECOND CHANCE RESOURCE CENTER

NPI #	`1043079536`
LBN Legal business name	SECOND CHANCE RESOURCE CENTER
Authorized official	TONYA HICKS - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/18/2024
Last updated	04/01/2024 - About 2 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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SECOND CHANCE RESOURCE CENTER

Contact Information

Specialty

Voluntary or Charitable

Addiction (Substance Use Disorder)

Air Carrier

NPI Profile & details for SECOND CHANCE RESOURCE CENTER

Reviews for SECOND CHANCE RESOURCE CENTER