Organization
SECOND OPPORTUNITY LLC
Active
Other names
Second Opportunity LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NALLS (OWNER/DIRECTOR)
(404) 538-3551
Entity
Organization
Contact information
Practice address
3769 THE GREAT DR, ATLANTA, GA 30349-8726
(404) 538-3551
Mailing address
3769 THE GREAT DR, ATLANTA, GA 30349-8726
(404) 538-3551
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/25/2019
Last updated
09/19/2019
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