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Organization
SECOND CHANCE RES ADULT SERVICES
Active
Organization
SECOND CHANCE RES ADULT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAVONDA C MEACHEM MS ADULT EDUCATION (DIRECTOR OWNER)
(336) 707-6517
Entity
Organization
Contact information
Practice address
907 DILLARD ST, GREENSBORO, NC 27403-3022
(336) 230-1676
(336) 294-7657
Mailing address
907 DILLARD ST, GREENSBORO, NC 27403-3022
(336) 230-1676
(336) 230-7337
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL041816
NC
Other
Enumeration date
11/26/2007
Last updated
07/14/2008
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