Organization
SECOND CHANCE OUTREACH LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN FOSTER (CEO)
(662) 739-8564
Entity
Organization
Contact information
Practice address
4807 N STATE ST STE 407, JACKSON, MS 39206-4826
(601) 842-4718
Mailing address
15 OAKFORD CT, JACKSON, MS 39211-3050
(601) 842-4718
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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