| NPI | 1346058914 |
|---|---|
| Former Legal Business Name | 2ND CHANCE THROUGH BEHAVIOR SUPPORTS |
| Entity Type | Organization |
| Authorized Contact | DYSHEA UPSHAW Owner 856-831-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |