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Organization
SECOND CHANCE AT HAND OUTREACH CENTER LLC
Active
Organization
SECOND CHANCE AT HAND OUTREACH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANTINA RILEY (EXECUTIVE DIRECTOR)
(601) 508-6446
Entity
Organization
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 134, MESA, AZ 85210-3088
(601) 508-6446
Mailing address
1830 S ALMA SCHOOL RD STE 134, MESA, AZ 85210-3088
(601) 508-6446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/14/2021
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