Organization
SECOND CHANCE CASE MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNELIESSE SANTANA HERNANDEZ (OWNER)
(786) 302-5424
Entity
Organization
Contact information
Practice address
15485 EAGLE NEST LN STE 150, MIAMI LAKES, FL 33014-2200
(178) 302-5424
(786) 396-5317
Mailing address
15485 EAGLE NEST LN STE 150, MIAMI LAKES, FL 33014-2200
(178) 302-5424
(786) 396-5317
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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