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Organization
SECOND CHANCE INC
Active
Organization
SECOND CHANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M BALENTINE (PROGRAM MANAGER)
(510) 792-4357
Entity
Organization
Contact information
Practice address
37141 SAINT CHRISTOPHER ST, NEWARK, CA 94560-3214
(510) 792-4357
Mailing address
37141 SAINT CHRISTOPHER ST, NEWARK, CA 94560-3214
(510) 792-4357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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