Organization
HIGH DESERT SECOND CHANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA P KENETI KENNEDY (PRESIDENT)
(442) 267-4444
Entity
Organization
Contact information
Practice address
16666 SMOKE TREE ST STE B4, HESPERIA, CA 92345-6100
(442) 267-4444
Mailing address
16666 SMOKE TREE ST STE B4, HESPERIA, CA 92345-6100
(442) 267-4444
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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