| Another Second Chance Llc | |
|
409 Augusta St Elmore OH 43416-9576 | |
| (419) 204-0242 | |
| Not Available |
| Full Name | Another Second Chance Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 409 Augusta St, Elmore, Ohio |
| Authorized Official Name and Position | Jessica Louise Pasch (OWNER) |
| Authorized Official Contact | 4192040242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Another Second Chance Llc 409 Augusta St Elmore OH 43416-9576 Ph: (419) 204-0242 | Another Second Chance Llc 409 Augusta St Elmore OH 43416-9576 Ph: (419) 204-0242 |
| NPI Number | 1710725205 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710725205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |