Organization
CREATING SECOND CHANCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK HADDOCK (CEO)
(757) 346-1084
Entity
Organization
Contact information
Practice address
103 W 4TH AVE, FRANKLIN, VA 23851-1731
(757) 742-3162
Mailing address
103 W 4TH AVE, FRANKLIN, VA 23851-1731
(757) 346-1084
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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