Organization
SECOND CHANCES BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH C ROUSSEAU (CEO)
(602) 880-4487
Entity
Organization
Contact information
Practice address
2002 W TURNEY AVE, PHOENIX, AZ 85015-4625
(602) 880-4487
Mailing address
2002 W TURNEY AVE, PHOENIX, AZ 85015-4625
(602) 880-4487
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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