Organization
BLESSED BY 2ND CHANCE LLC
Active
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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