| 2nd Chance At Life, Llc | |
|
10425 Nw 2nd Ct Miami FL 33150-1128 | |
| (786) 281-2086 | |
| Not Available |
| Full Name | 2nd Chance At Life, Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 10425 Nw 2nd Ct, Miami, Florida |
| Authorized Official Name and Position | Nathalie R Gilles (MANAGER) |
| Authorized Official Contact | 2392709745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance At Life, Llc 5711 Nw 21st St Apt 18b Lauderhill FL 33313-3108 Ph: (239) 270-9745 | 2nd Chance At Life, Llc 10425 Nw 2nd Ct Miami FL 33150-1128 Ph: (786) 281-2086 |
| NPI Number | 1730692252 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 11/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730692252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Florida) | Primary |
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