# SECOND CHANCE RESIDENTIAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1811135346
- **Authorized official:** TYMESHIE JEMEL FRANKLIN (CEO)
- **Authorized official phone:** (252) 243-9787

## Contact information

- **Practice address:** 3310 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-9599
- **Practice address phone:** (252) 243-9787
- **Mailing address:** 3310 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-9599
- **Mailing address phone:** (252) 243-9787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 05/18/2009