Organization
SECOND CHANCES TCM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANQUAL MARSHALL-GUNN (CEO/PRESIDENT)
(321) 460-3731
Entity
Organization
Contact information
Practice address
1706 E SEMORAN BLVD, SUITE102, APOPKA, FL 32703-5651
(407) 464-2111
(407) 464-2112
Mailing address
1706 E SEMORAN BLVD, SUITE102, APOPKA, FL 32703-5651
(407) 464-2111
(407) 464-2112
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/16/2012
Last updated
06/16/2012
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