Organization
HOME OF SECOND CHANCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA K JONES (OWNER/MEMBER)
(336) 285-9031
Entity
Organization
Contact information
Practice address
2216 W MEADOWVIEW RD STE 105, GREENSBORO, NC 27407-3401
(336) 285-9031
(336) 285-9032
Mailing address
2216 W MEADOWVIEW RD STE 105, GREENSBORO, NC 27407-3401
(336) 285-9031
(336) 285-9032
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8302865B
—
NC
05
—
8302865H
—
NC
Enumeration date
03/05/2010
Last updated
03/05/2010
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