Organization
2ND CHANCE RECOVERY CENTER LLC
Active
Other names
2nd Chance Recovery Center INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES EUGENE LAWRENCE 60192110 (OWNER)
(206) 242-4915
Entity
Organization
Contact information
Practice address
235 SW 153RD ST, BURIEN, WA 98166-2313
(206) 242-4915
Mailing address
235 SW 153RD ST, BURIEN, WA 98166-2313
(206) 242-4915
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
17178000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013304385
JAMES LAWRENCE CDP
WA
Enumeration date
04/14/2016
Last updated
04/14/2016
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