| 2nd Chance Mental Health Center, Llc | |
|
1250 Se Port St Lucie Blvd Ste C Port Saint Lucie FL 34952-5385 | |
| (772) 249-0880 | |
| (772) 249-0881 |
| Full Name | 2nd Chance Mental Health Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1250 Se Port St Lucie Blvd Ste C, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Jean M Larsen (PRESIDENT) |
| Authorized Official Contact | 7722490880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance Mental Health Center, Llc 1250 Se Port St Lucie Blvd Ste C Port Saint Lucie FL 34952-5385 Ph: (772) 249-0880 | 2nd Chance Mental Health Center, Llc 1250 Se Port St Lucie Blvd Ste C Port Saint Lucie FL 34952-5385 Ph: (772) 249-0880 |
| NPI Number | 1447554019 |
|---|---|
| Provider Enumeration Date | 12/22/2010 |
| Last Update Date | 12/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447554019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1956AD422201 (Florida) | Primary |
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