| Second Chance Sle | |
|
6448 Broadway Ave Newark CA 94560-4012 | |
| (510) 792-4357 | |
| (510) 745-1693 |
| Full Name | Second Chance Sle |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6448 Broadway Ave, Newark, California |
| Authorized Official Name and Position | Mark Robert 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 Sle Po Box 643 Newark CA 94560-0643 Ph: (510) 792-4357 | Second Chance Sle 6448 Broadway Ave Newark CA 94560-4012 Ph: (510) 792-4357 |
| NPI Number | 1851560072 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851560072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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