Organization
CHANCE 2 CHANGE
Active
Other names
Break The Cycle
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY A YOUNG (CEO)
(386) 333-9622
Entity
Organization
Contact information
Practice address
4721 E MOODY BLVD, STE 107, BUNNELL, FL 32110-7705
(386) 437-0235
Mailing address
4721 E MOODY BLVD, STE 107, BUNNELL, FL 32110-7705
(386) 437-0235
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2014
Last updated
06/22/2023
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