Organization
SECOND CHANCE INTERNATIONAL MINISTRIES, INC
Active
Other names
Second Chance Resource & Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY HORNES B.A. (EXECUTIVE DIRECTOR)
(678) 925-1054
Entity
Organization
Contact information
Practice address
4848A OLD NATIONAL HWY, COLLEGE PARK, GA 30337-6233
(678) 814-3358
(678) 759-0711
Mailing address
4848A OLD NATIONAL HWY, COLLEGE PARK, GA 30337-6233
(678) 814-3358
(678) 759-0711
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
16097130
WI
251S00000X
Community/Behavioral Health Agency
Primary
T0039
GA
324500000X
Substance Abuse Rehabilitation Facility
T0039
GA
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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