Organization
SECOND CHANCE COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WEAVER JR. (MEMBER)
(919) 295-4771
Entity
Organization
Contact information
Practice address
1206 GARNER RD, RALEIGH, NC 27610-3965
(919) 295-4771
Mailing address
1206 GARNER RD, RALEIGH, NC 27610-3965
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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