Second Chance Addiction Care
LBN: Second Chance Addiction Care
Second Chance Addiction Care is an health care organization with primary practice located at 401 E Jefferson St Ste 203 , Rockville MD 20850-2617. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Second Chance Addiction Care can be contacted via phone (301) 983-5130, or through Moore, Cheryl Ann via phone (240) 723-5018.
Contact Information
Primary practice address
401 E Jefferson St Ste 203
Rockville MD 20850-2617
Phone: (301) 983-5130
Fax: (855) 270-6701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1124703418 |
|---|---|
| LBN Legal business name | Second Chance Addiction Care |
| DBA Doing business as | |
| Authorized official | Moore, Cheryl Ann LCSW-C |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2023 |
| Last updated | Jun 15th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124703418 | NPPES |
| Maryland | MEDICAID | 500320200 |
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