Organization
SECOND CHANCE 2000 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL WILLIAMS (EXECUTIVE DIRECTOR)
(313) 449-6644
Entity
Organization
Contact information
Practice address
12840 HAMILTON AVE, HIGHLAND PARK, MI 48203-3588
(313) 757-0721
Mailing address
16130 LITTLEFIELD ST, DETROIT, MI 48235-4224
(313) 449-6644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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