Organization
2ND CHANCE HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONTE LEVON COLEMAN (OWNER)
(609) 203-3170
Entity
Organization
Contact information
Practice address
305 KENBROOK LN NW APT 101, CONCORD, NC 28027-0122
(609) 203-3170
Mailing address
305 KENBROOK LN NW APT 101, CONCORD, NC 28027-0122
(609) 203-3170
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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