# SECOND CHANCES TCM

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

## Provider details

- **NPI number:** 1225391105
- **Authorized official:** MRS. SHANQUAL MARSHALL-GUNN (CEO/PRESIDENT)
- **Authorized official phone:** (321) 460-3731

## Contact information

- **Practice address:** 1706 E SEMORAN BLVD, SUITE102, APOPKA, FL 32703-5651
- **Practice address phone:** (407) 464-2111
- **Practice address fax:** (407) 464-2112
- **Mailing address:** 1706 E SEMORAN BLVD, SUITE102, APOPKA, FL 32703-5651
- **Mailing address phone:** (407) 464-2111
- **Mailing address fax:** (407) 464-2112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2012
- **Last updated:** 06/16/2012
