| 2nd Chance Recovery Center Llc | |
|
235 Sw 153rd St Burien WA 98166-2313 | |
| (206) 242-4915 | |
| Not Available |
| Full Name | 2nd Chance Recovery Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 235 Sw 153rd St, Burien, Washington |
| Authorized Official Name and Position | James Eugene Lawrence (OWNER) |
| Authorized Official Contact | 2062424915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2nd Chance Recovery Center Llc 235 Sw 153rd St Burien WA 98166-2313 Ph: (206) 242-4915 | 2nd Chance Recovery Center Llc 235 Sw 153rd St Burien WA 98166-2313 Ph: (206) 242-4915 |
| NPI Number | 1710331905 |
|---|---|
| Provider Enumeration Date | 04/14/2016 |
| Last Update Date | 04/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710331905 | NPI | - | NPPES |
| 1013304385 | Other | WA | JAMES LAWRENCE CDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 17178000 (Washington) | Primary |
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