Organization
SECOND CHANCE COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RUBEN CISNEROS LCSW (OWNER)
(702) 482-8580
Entity
Organization
Contact information
Practice address
732 S 6TH ST STE R, LAS VEGAS, NV 89101-6948
(702) 482-8580
Mailing address
732 S 6TH ST STE R, LAS VEGAS, NV 89101-6948
(702) 482-8580
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
01/14/2026
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