| NPI | 1376169300 |
|---|---|
| Former Legal Business Name | SECOND CHANCE SUPPORT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | MOLUA SMITH BECKE Administrator 907-602-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |