Organization
SECOND CHANCE RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYMESHIE JEMEL FRANKLIN (CEO)
(252) 243-9787
Entity
Organization
Contact information
Practice address
3310 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-9599
(252) 243-9787
Mailing address
3310 MARTIN LUTHER KING JR PKWY SE, WILSON, NC 27893-9599
(252) 243-9787
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/21/2009
Last updated
05/18/2009
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