| Second Chance Hayward Recovery Center | |
|
107 Jackson St Hayward CA 94544-1948 | |
| (510) 886-8696 | |
| (510) 888-9054 |
| Full Name | Second Chance Hayward Recovery Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 107 Jackson St, Hayward, California |
| Authorized Official Name and Position | Mark R Mcconville (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5107924357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Chance Hayward Recovery Center 107 Jackson St Hayward CA 94544-1948 Ph: (510) 886-8696 | Second Chance Hayward Recovery Center 107 Jackson St Hayward CA 94544-1948 Ph: (510) 886-8696 |
| NPI Number | 1356543011 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356543011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01AB (California) | Primary |
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