| NPI | 1053139790 |
|---|---|
| Other Name | 2ND CHANCE |
| Entity Type | Organization |
| Authorized Contact | JULIAN BELTON Owner/President 336-575-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |