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Organization
SECOND CHANCE, INC.
Active
Organization
SECOND CHANCE, INC.
Active
Other names
Second Chance Phoenix Women's Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY L ROGERS (EXECUTIVE DIRECTOR)
(510) 745-1675
Entity
Organization
Contact information
Practice address
6330 THORNTON AVE, SUITE A, NEWARK, CA 94560-3734
(510) 745-1675
Mailing address
6330 THORNTON AVE, SUITE A, NEWARK, CA 94560-3734
(510) 745-1675
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
018060
CA
Other
Enumeration date
02/11/2008
Last updated
09/10/2015
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