Organization
SECOND CHANCE ADDICTION CARE LLC
Active
Parent organization
SECOND CHANCE ADDICTION CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SECOND CHANCE ADDICTION CARE LLC
Authorized official
JESSIE COSTLEY (CREDENTIALING MANAGER)
(443) 839-6928
Entity
Organization
Contact information
Practice address
401 E JEFFERSON ST STE 203, ROCKVILLE, MD 20850-2617
(301) 983-5130
(855) 270-6701
Mailing address
9800 FALLS RD STE 7, POTOMAC, MD 20854-3942
(301) 983-5130
(855) 270-6701
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
06/25/2024
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