Organization
A SECOND CHANCE FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA LATRAYAN MURPHY (MANAGER)
(336) 954-5692
Entity
Organization
Contact information
Practice address
3810 PINENEEDLE DR, GREENSBORO, NC 27405-2911
(336) 954-5692
Mailing address
PO BOX 3062, BURLINGTON, NC 27215-0062
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
NC
Other
Enumeration date
11/03/2013
Last updated
11/07/2013
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