# ANOTHER CHANCE DETOX

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

## Provider details

- **NPI number:** 1316782337
- **Authorized official:** MR. CHANCE WILLIAM LUNA (MEMBER)
- **Authorized official phone:** (214) 675-0999

## Contact information

- **Practice address:** 20320 STATE HIGHWAY 19, CANTON, TX 75103-5742
- **Practice address phone:** (469) 512-5291
- **Practice address fax:** (833) 586-2467
- **Mailing address:** 5954 BROADWAY BLVD \# 105, GARLAND, TX 75043-5822
- **Mailing address phone:** (214) 675-0999
- **Mailing address fax:** (833) 586-2467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/01/2024
