Organization
SECOND CHANCE FOR ME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS WASHINGTON (CEO)
(310) 420-8557
Entity
Organization
Contact information
Practice address
4550 W OAKEY BLVD STE 111R, LAS VEGAS, NV 89102-1581
(310) 420-8557
Mailing address
4550 W OAKEY BLVD STE 111R, LAS VEGAS, NV 89102-1581
(310) 420-8557
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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