Organization
SECOND CHANCE BEHAVIORAL HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOWANDA TAYLOR (CEO)
(410) 504-9048
Entity
Organization
Contact information
Practice address
2502 MARYLAND AVE, BALTIMORE, MD 21218-4510
(410) 504-9048
Mailing address
10045 ARDENNE WAY, OWINGS MILLS, MD 21117-4072
(410) 504-9048
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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