Organization
A NEW SECOND CHANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEE (OWNER)
(704) 309-1969
Entity
Organization
Contact information
Practice address
227 W 4TH ST STE 107, CHARLOTTE, NC 28202-1545
(704) 309-1969
Mailing address
227 W 4TH ST STE 107, CHARLOTTE, NC 28202-1545
(704) 309-1969
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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