NPI | 1083808497 |
---|---|
Doing Business As | SECOND CHANCE 4 KIDZ |
Entity Type | Organization |
Authorized Contact | KERTRENIA S JONES Owner 704-807-5910 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 0601002) |
Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NC 0601002) |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |