Organization
SECOND CHANCE RECOVERY INC
Active
Other names
Second Chance Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ROBERTS (CEO/OWNER)
(626) 353-4289
Entity
Organization
Contact information
Practice address
1135 E ROUTE 66 STE 209, GLENDORA, CA 91740-3778
(626) 353-4289
Mailing address
1135 E ROUTE 66 STE 209, GLENDORA, CA 91740-3778
(626) 353-4289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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