# 2ND CHANCE HOME FOR CHILDREN

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

## Provider details

- **NPI number:** 1992918627
- **Authorized official:** CHERYL D. MARTIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (919) 247-8187

## Contact information

- **Practice address:** 729 KAVKAZ ST, RALEIGH, NC 27610-3174
- **Practice address phone:** (919) 255-9795
- **Practice address fax:** (919) 255-9795
- **Mailing address:** 729 KAVKAZ ST, RALEIGH, NC 27610-3174
- **Mailing address phone:** (919) 255-9795
- **Mailing address fax:** (919) 255-9795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-092-554 | NC | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020