Organization
A SECOND CHANCE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHIRLEY ANN SUTTON (OWNER)
(252) 412-2554
Entity
Organization
Contact information
Practice address
1209 DUCE DR, GREENVILLE, NC 27834-6566
(252) 227-4925
Mailing address
1209 DUCE DR, GREENVILLE, NC 27834-6566
(252) 227-4925
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-074-193
NE
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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