# ANOTHER CHANCE RESIDENTIAL, LLC.

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

## Provider details

- **NPI number:** 1891931044
- **Authorized official:** MR. RONNELL LEVON MCGILL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (919) 345-6882

## Contact information

- **Practice address:** 232 RUBY RIDGE RD, DURHAM, NC 27703-4661
- **Practice address phone:** (919) 598-3175
- **Mailing address:** 2009 MCKINNON DR, CLAYTON, NC 27520-4600
- **Mailing address phone:** (919) 359-0802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 032467 | NC | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008