Organization
ANOTHER CHANCE DETOX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANCE WILLIAM LUNA (MEMBER)
(214) 675-0999
Entity
Organization
Contact information
Practice address
20320 STATE HIGHWAY 19, CANTON, TX 75103-5742
(469) 512-5291
(833) 586-2467
Mailing address
5954 BROADWAY BLVD # 105, GARLAND, TX 75043-5822
(214) 675-0999
(833) 586-2467
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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