Organization
SECOND CHANCE AT HAND OUTREACH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUANTINA RILEY (EXECUTIVE DIRECTOR)
(601) 508-6446
Entity
Organization
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 134, MESA, AZ 85210-3088
(601) 508-6446
Mailing address
1830 S ALMA SCHOOL RD STE 134, MESA, AZ 85210-3088
(601) 508-6446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/08/2021
Last updated
10/14/2021
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