| Second Chance 2000 Inc. | |
|
12840 Hamilton Ave Highland Park MI 48203-3588 | |
| (313) 757-0721 | |
| Not Available |
| Full Name | Second Chance 2000 Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12840 Hamilton Ave, Highland Park, Michigan |
| Authorized Official Name and Position | Carl Williams (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3134496644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance 2000 Inc. 16130 Littlefield St Detroit MI 48235-4224 Ph: (313) 449-6644 | Second Chance 2000 Inc. 12840 Hamilton Ave Highland Park MI 48203-3588 Ph: (313) 757-0721 |
| NPI Number | 1366131377 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366131377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
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