Second Chance Res Adult Services
Second Chance Res Adult Services is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
907 Dillard StGreensboro, NC 27403-3022
Phone: (336) 230-1676
Fax: (336) 294-7657
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL041816 (NC) |
|---|
Record details
| NPI number | 1427239979 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ravonda Meachem — Director Owner · (336) 707-6517 |
| NPI enumerated | November 26, 2007 |
| Last updated in NPPES | July 14, 2008 |
| Mailing address | 907 Dillard St, Greensboro, NC 27403-3022 |
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