Organization
CHANCE 2 CHANGE
Active
Other names
Break the Cycle
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A YOUNG (CEO)
(386) 333-9622
Entity
Organization
Contact information
Practice address
724 SOUTH BEACH STREET, SUITE 3, DAYTONA, FL 32114
(386) 437-0235
Mailing address
4721 E MOODY BLVD, SUITE 107, BUNNELL, FL 32110-7705
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
05/31/2016
Last updated
06/22/2023
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