| NPI | 1669837175 |
|---|---|
| Doing Business As | SECOND CHANCES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARANTIS Owner 330-502-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X |
| 261QM0801X | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-06-27 |