Organization
2ND CHANCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KORIN CAMPBELL LCSW (OWNER/CEO)
(860) 386-8024
Entity
Organization
Contact information
Practice address
30 MAPLE AVE STE B-2, WINDSOR, CT 06095-2922
(860) 386-8024
(800) 989-4601
Mailing address
30 MAPLE AVE STE B-2, WINDSOR, CT 06095-2922
(860) 386-8024
(800) 989-4601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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