| 2nd Chance Behavioral Health Services Llc | |
|
10620 N 43rd Ave Ste 10 Glendale AZ 85304-4150 | |
| (602) 860-0044 | |
| (602) 848-3186 |
| Full Name | 2nd Chance Behavioral Health Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 10620 N 43rd Ave Ste 10, Glendale, Arizona |
| Authorized Official Name and Position | Domity Akoi (ADMINISTRATOR) |
| Authorized Official Contact | 6028600044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance Behavioral Health Services Llc 10620 N 43rd Ave Ste 10 Glendale AZ 85304-4150 Ph: (602) 860-0044 | 2nd Chance Behavioral Health Services Llc 10620 N 43rd Ave Ste 10 Glendale AZ 85304-4150 Ph: (602) 860-0044 |
| NPI Number | 1053008870 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053008870 | NPI | - | NPPES |
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