| 2nd Chance 2 Llc | |
|
2704 Bon Air Ave Winston Salem NC 27105-4307 | |
| (336) 972-4487 | |
| Not Available |
| Full Name | 2nd Chance 2 Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2704 Bon Air Ave, Winston Salem, North Carolina |
| Authorized Official Name and Position | Julian Belton (OWNER/PRESIDENT) |
| Authorized Official Contact | 3365757582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance 2 Llc 1856 Old Hollow Rd Walkertown NC 27051-9716 Ph: (336) 767-6535 | 2nd Chance 2 Llc 2704 Bon Air Ave Winston Salem NC 27105-4307 Ph: (336) 972-4487 |
| NPI Number | 1053139790 |
|---|---|
| Provider Enumeration Date | 10/01/2024 |
| Last Update Date | 10/01/2024 |
| Certification Date | 09/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053139790 | NPI | - | NPPES |
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