Organization
BLESSED BY 2ND CHANCE LLC
Active
Other names
Blessed by 2nd Chance LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LASTER (OWNER)
(773) 412-4149
Entity
Organization
Contact information
Practice address
2302 E YALE ST, PHOENIX, AZ 85006-1535
(773) 412-4149
Mailing address
2302 E YALE ST, PHOENIX, AZ 85006-1535
(773) 412-4149
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/22/2022
Last updated
12/27/2022
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