Organization
SECOND CHANCE FOR YOU
Active
Organization
SECOND CHANCE FOR YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERTRENIA SHANICKA JONES CNA (OWNER)
(704) 807-5910
Entity
Organization
Contact information
Practice address
2213 SOUTHWIND DR, CHARLOTTE, NC 28216-8846
(704) 399-6320
Mailing address
1526 PEACHCROFT RD, CHARLOTTE, NC 28216
(704) 399-4464
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
060-1002
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
060-1002
NC
Other
Enumeration date
11/06/2006
Last updated
09/11/2025
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