Second Chance Inc | |
6519 Central Ave Newark CA 94560-3932 | |
(510) 792-4357 | |
Not Available |
Full Name | Second Chance Inc |
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Speciality | Community/behavioral Health |
Location | 6519 Central Ave, Newark, California |
Authorized Official Name and Position | John M Balentine (PROGRAM MANAGER) |
Authorized Official Contact | 5107924357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Second Chance Inc 6519 Central Ave Newark CA 94560-3932 Ph: (510) 792-4357 | Second Chance Inc 6519 Central Ave Newark CA 94560-3932 Ph: (510) 792-4357 |
NPI Number | 1508295122 |
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Provider Enumeration Date | 11/04/2013 |
Last Update Date | 11/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508295122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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