| Second Chance Behavioral Health Center Llc | |
|
2502 Maryland Ave Baltimore MD 21218-4510 | |
| (410) 504-9048 | |
| Not Available |
| Full Name | Second Chance Behavioral Health Center Llc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 2502 Maryland Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Towanda Taylor (CEO) |
| Authorized Official Contact | 4105049048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Behavioral Health Center Llc 10045 Ardenne Way Owings Mills MD 21117-4072 Ph: (410) 504-9048 | Second Chance Behavioral Health Center Llc 2502 Maryland Ave Baltimore MD 21218-4510 Ph: (410) 504-9048 |
| NPI Number | 1134610322 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 05/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134610322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
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