| 2nd Chance Promise Program | |
|
19 Lambson Ln Ste B102 New Castle DE 19720-2118 | |
| (302) 337-5513 | |
| Not Available |
| Full Name | 2nd Chance Promise Program |
|---|---|
| Speciality | Counselor |
| Location | 19 Lambson Ln Ste B102, New Castle, Delaware |
| Authorized Official Name and Position | Andre V Haley (OWNER/PROVIDER) |
| Authorized Official Contact | 3025638399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance Promise Program 3113 N Van Buren St Wilmington DE 19802-2939 Ph: (302) 563-8399 | 2nd Chance Promise Program 19 Lambson Ln Ste B102 New Castle DE 19720-2118 Ph: (302) 337-5513 |
| NPI Number | 1992585111 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992585111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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