| Creating Second Chances, Llc | |
|
103 W 4th Ave Franklin VA 23851-1731 | |
| (757) 742-3162 | |
| Not Available |
| Full Name | Creating Second Chances, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 103 W 4th Ave, Franklin, Virginia |
| Authorized Official Name and Position | Frank Haddock (CEO) |
| Authorized Official Contact | 7573461084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Second Chances, Llc 103 W 4th Ave Franklin VA 23851-1731 Ph: (757) 346-1084 | Creating Second Chances, Llc 103 W 4th Ave Franklin VA 23851-1731 Ph: (757) 742-3162 |
| NPI Number | 1538688536 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538688536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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