Organization
2ND CHANCE HOME FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL D. MARTIN (EXECUTIVE DIRECTOR)
(919) 247-8187
Entity
Organization
Contact information
Practice address
729 KAVKAZ ST, RALEIGH, NC 27610-3174
(919) 255-9795
(919) 255-9795
Mailing address
729 KAVKAZ ST, RALEIGH, NC 27610-3174
(919) 255-9795
(919) 255-9795
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-554
NC
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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