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Organization
DETROIT SECOND CHANCE INC
Active
Organization
DETROIT SECOND CHANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL WAYNE EASON (CEO)
(313) 561-8600
Entity
Organization
Contact information
Practice address
310 VISGER RD, RIVER ROUGE, MI 48218-1037
(313) 561-8600
Mailing address
310 VISGER RD, RIVER ROUGE, MI 48218-1037
(313) 561-8600
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/25/2022
Last updated
01/31/2025
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