Organization
CHANCE 2 CHANGE
Active
Other names
BREAK THE CYCLE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A YOUNG (CEO)
(386) 333-9622
Entity
Organization
Contact information
Practice address
216 S 6TH ST STE 3, PALATKA, FL 32177-4608
(386) 333-9622
Mailing address
724 S BEACH ST STE 3, DAYTONA BEACH, FL 32114-5412
(386) 333-9622
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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