Organization
2ND CHANCE REDISCOVERY
Active
Organization
2ND CHANCE REDISCOVERY
Active
Parent organization
SINFULXVANITY ART AND DESIGN LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SINFULXVANITY ART AND DESIGN LLC
Authorized official
KAITLIN ELIZABETH CROM (EXECUTIVE DIRECTOR)
(714) 478-2044
Entity
Organization
Contact information
Practice address
1851 SHOSHONE DR, BISHOP, CA 93514-8115
(171) 447-8204
Mailing address
1851 SHOSHONE DR, BISHOP, CA 93514-8115
(171) 447-8204
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1744G0900X
Graphics Designer
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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