# 2ND CHANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215348214
- **Authorized official:** DEBORAH FARMER (MGR)
- **Authorized official phone:** (859) 368-8820

## Contact information

- **Practice address:** 1420 N BROADWAY, LEXINGTON, KY 40505-3155
- **Practice address phone:** (859) 368-9874
- **Practice address fax:** (859) 368-8822
- **Mailing address:** 1420 N BROADWAY, LEXINGTON, KY 40505-3155
- **Mailing address phone:** (859) 368-8820
- **Mailing address fax:** (859) 368-8822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2014
- **Last updated:** 05/03/2019